Search › California › 363A00000X
Janice Jackson
NPI 1699420257 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1731 E 120th St
Los Angeles, CA 90059 - Phone
- (323) 563-4800
- Organisation at this address
- Charles Drew University Of Medicine & Science
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 338
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-24
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