Search › California › Rehabilitation Practitioner
Robert Jackson
NPI 1164058657 · on the registry since 2020
Practice
- Address
- 11600 Eldridge Ave
Sylmar, CA 91342 - Phone
- (661) 208-9964
- Clinicians at this address
- 24
Registry record
- Primary taxonomy
- Rehabilitation Practitioner
225400000X
- Also registered as
- Case Manager/Care Coordinator
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California