Search › California › 363AM0700X
Kevin Jackson, PA-C
NPI 1326498361 · on the registry since 2016
Practice
- Address
- 2251 N Harbor Blvd
Fullerton, CA 92835 - Phone
- (714) 449-6230
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-28
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