SearchCalifornia104100000X

Jan Jackson, LMSW

NPI 1649600313 · on the registry since 2013 · sole proprietor

Practice

Address
300 Ucla Medical Plz Ste 1100
Los Angeles, CA 90095
Phone
(310) 825-9989
Fax
(310) 267-1908
Organisation at this address
The Regents Of The University Of California
Inferred from a shared address, not stated in the registry.
Clinicians at this address
201

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
104100000X
1041C0700X
Licence states on file
NY, CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-05

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