Search › California › 1041C0700X
Amani Jackson
NPI 1851873962 · on the registry since 2018 · sole proprietor
Practice
- Address
- 3850 Crenshaw Blvd
Los Angeles, CA 90008 - Phone
- (323) 593-5300
- Organisation at this address
- Southern California Health & Rehabilitation Program
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 242
Additional practice sites
- 8836 S Vermont Ave, Los Angeles, CA
- 2594 Industry Way, Lynwood, CA
- 1433 S Robertson Blvd, Los Angeles, CA
- 3200 Motor Ave, Los Angeles, CA
- 470 E 3rd St, Los Angeles, CA
- 205 Pasadena Ave, South Pasadena, CA
- 2594 Industry Way, Lynwood, CA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
390200000X
101Y00000X
1041C0700X
101YM0800X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-22
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