Search › California › 1710I1002X
Brian Jackson, IDC
NPI 1194985861 · on the registry since 2008
Practice
- Address
- 35000 Guadalcanal Ave
San Diego, CA 92140 - Phone
- (619) 524-4045
- Organisation at this address
- Naval Medical Center San Diego
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 1710I1002X
1710I1002X
- Sex
- Male
- Record last updated
- 2008-06-16
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