SearchCalifornia207QH0002X

Frederic Jackson, DO, MPH

NPI 1255407318 · on the registry since 2006 · sole proprietor

Practice

Address
2402 Old Ranch Rd
Escondido, CA 92027
Phone
(760) 855-5423
Fax
(877) 359-0651

Registry record

Primary taxonomy
207QH0002X
207QH0002X
Also registered as
207Q00000X
207Q00000X
Licence states on file
VA, FL, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-12-13

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