Search › California › 101YA0400X
Carnell Jackson
NPI 1366631590 · on the registry since 2007
Practice
- Address
- 2918 W Vernon Ave
Los Angeles, CA 90008 - Phone
- (323) 497-8150
- Fax
- (323) 292-5543
- Organisation at this address
- A Home For Us Foundation Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Sex
- Male
- Record last updated
- 2007-10-24
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