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Richard Anthony Jack, MD
Neonatal-Perinatal Medicine Physician in Tarzana, California
NPI 1306289129

Richard Anthony Jack is a Neonatal-Perinatal Medicine Physician based in Torrance, CA and is specialized in Neonatal-Perinatal Medicine. Richard Anthony Jack practices in Tarzana, CA and has the professional credentials of MD. The NPI Number for Richard Anthony Jack is 1306289129 and holds a License No. (California).

The current practice location address for Richard Anthony Jack is 18321 Clark St, Tarzana, CA and can be reached out via phone at 818-708-5570 and via fax at 818-708-5471.

Location: 18321 Clark St, Tarzana, CA, 90504-5513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306289129
Provider Name
Richard Anthony Jack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
18321 Clark St, Tarzana, CA, 90504-5513
Phone Number
818-708-5570
Fax Number
818-708-5471
Provider Enumeration Date
04/10/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18321 Clark St
City
Tarzana
State
California
Zip
91356-3501
Phone Number
818-708-5570
Fax Number
818-708-5471
person
Provider Business Mailing Address Details
Address
18321 Clark St
City
Tarzana
State
California
Zip
91356-3501
Phone Number
818-708-5570
Fax Number
818-708-5471
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Neonatal-Perinatal Medicine
Taxonomy
2080N0001X
License No.
C175889 (California)
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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