SearchCalifornia1835P0018X

Jimson Bacolod

NPI 1609152297 · on the registry since 2011

Practice

Address
141 W Carson St
Carson, CA 90745
Phone
(424) 280-3022
Fax
(424) 264-5607
Organisation at this address
Vistamed Corp
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1835P0018X
1835P0018X
Also registered as
183500000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-27

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