Search › California › 101YM0800X
Gallard Jackson
NPI 1588707715 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3078 El Cajon Blvd
San Diego, CA 92104 - Phone
- (619) 521-1743
- Organisation at this address
- Mhs, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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