Search › California › Public Health & General Preventive Medicine Physician
Richard Jackson, M.D
NPI 1720317175 · on the registry since 2009 · sole proprietor
Practice
- Address
- 650 Charles E Young Dr S
Ehs Sph Ucla Box 56-070
Los Angeles, CA 90095 - Phone
- (310) 206-8522
- Fax
- (310) 794-2106
- Organisation at this address
- University Of California Los Angeles
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Public Health & General Preventive Medicine Physician
2083P0901X
- Also registered as
- Pediatrics Physician
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-12-14
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