person
Dr. Charles William Jackson, MD
General Practice Physician in Huntington Beach, California
NPI 1083662845

Charles William Jackson is a General Practice Physician based in Huntington Beach, CA. Charles William Jackson practices in Huntington Beach, CA and has the professional credentials of MD. The NPI Number for Charles William Jackson is 1083662845 and holds a License No. G35311 (California).

The current practice location address for Charles William Jackson is 17122 Beach Blvd, Huntington Beach, CA and can be reached out via phone at 714-847-6545 and via fax at 714-847-6547.

Location: 17122 Beach Blvd, Huntington Beach, CA, 92647-5992
person
Provider Profile Details
NPI Number
1083662845
Provider Name
Charles William Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
17122 Beach Blvd, Huntington Beach, CA, 92647-5992
Phone Number
714-847-6545
Fax Number
714-847-6547
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G353110 05 CA
institution
Provider Business Practice Location Address Details
Address
17122 Beach Blvd
City
State
Zip
92647-5992
Phone Number
714-847-6545
Fax Number
714-847-6547
person
Provider Business Mailing Address Details
Address
17122 Beach Blvd
City
State
Zip
92647-5992
Phone Number
714-847-6545
Fax Number
714-847-6547
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
G35311 (California)
Definition
Definition to come...
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