Search › California › 101YA0400X
Michael Jackson
NPI 1760850192 · on the registry since 2015 · sole proprietor
Practice
- Address
- 815 Buena Vista Ave W
San Francisco, CA 94117 - Phone
- (415) 554-1450
- Fax
- (415) 558-4235
- Organisation at this address
- Healthright 360
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 111
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-09-02
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