Search › California › 106H00000X
Diane Jackson, MFC
NPI 1417257312 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1531 Purdue Ave
Suite Number 103
Los Angeles, CA 90025 - Phone
- (310) 478-6263
- Fax
- (310) 456-8456
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-10-25
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