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Search › California › 2084N0400X

Robert Jackson, MD

NPI 1265843437 · on the registry since 2014

Practice

Address
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone
(310) 829-8319
Fax
(310) 829-8607
Organisation at this address
Jsu Medical, Pc
Maggie Dinome, M.D.
Richard P Frieder Md
Cep America - California
Richard P Frieder Md Apc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
128

Additional practice sites

  • 350 W Thomas Rd, Phoenix, AZ

Registry record

Primary taxonomy
2084N0400X
2084N0400X
Also registered as
208M00000X
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-11-03

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