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Jill Jackson
Specialist in Los Angeles, California
NPI 1235265513

Jill Jackson is a Specialist based in Los Angeles, CA. Jill Jackson practices in Los Angeles, CA. The NPI Number for Jill Jackson is 1235265513 and holds a License No. (California).

The current practice location address for Jill Jackson is 1111 W 6Th St, Los Angeles, CA and can be reached out via phone at 213-482-6400 and via fax at 213-482-6408.

Location: 1111 W 6Th St, Los Angeles, CA, 90017-2038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235265513
Provider Name
Jill Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1111 W 6Th St, Los Angeles, CA, 90017-2038
Phone Number
213-482-6400
Fax Number
213-482-6408
Provider Enumeration Date
02/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1265520183 05 CA
1306922554 05 CA
1841342318 05 CA
institution
Provider Business Practice Location Address Details
Address
1111 W 6Th St
City
Los Angeles
State
California
Zip
90017-1800
Phone Number
213-482-6400
Fax Number
213-482-6408
person
Provider Business Mailing Address Details
Address
1111 W 6Th St
City
Los Angeles
State
California
Zip
90017-1800
Phone Number
213-482-6400
Fax Number
213-482-6408
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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