Search › California › 146N00000X
Donald Jack, M.D
NPI 1497079875 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1644 Wilcox Ave
Hollywood, CA 90028 - Phone
- (424) 202-0322
Registry record
- Primary taxonomy
- 146N00000X
146N00000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-03-15
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