person
Evan Jackson, MD
Student in an Organized Health Care Education/Training Program in Los Angeles, California
NPI 1194306118

Evan Jackson is a Student in an Organized Health Care Education/Training Program based in Los Angeles, CA. Evan Jackson practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Evan Jackson is 1194306118 and holds a License No. (California).

The current practice location address for Evan Jackson is 1200 N State Street Clinic Tower, Los Angeles, CA and can be reached out via phone at 323-409-7556.

Location: 1200 N State Street Clinic Tower, Los Angeles, CA, 90033-1029
person
Provider Profile Details
NPI Number
1194306118
Provider Name
Evan Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1200 N State Street Clinic Tower, Los Angeles, CA, 90033-1029
Phone Number
323-409-7556
Fax Number
Provider Enumeration Date
04/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1200 N State Street Clinic Tower
City
State
Zip
90033-1029
Phone Number
323-409-7556
Fax Number
person
Provider Business Mailing Address Details
Address
1200 N State Street Clinic Tower
City
State
Zip
90033-1029
Phone Number
323-409-7556
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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