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Anita C. Jackson, M.d., Inc
Primary Care Clinic/Center in Temecula, California
NPI 1326145756

Anita C. Jackson, M.d., Inc is a Primary Care Clinic/Center based in Temecula, CA and is specialized in Primary Care. Anita C. Jackson, M.d., Inc practices in Temecula, CA. The NPI Number for Anita C. Jackson, M.d., Inc is 1326145756 and holds a License No. A053675 (California).

The current practice location address for Anita C. Jackson, M.d., Inc is 31720 Highway 79 South, Temecula, CA and can be reached out via phone at 951-694-4688 and via fax at 951-694-4760.

Location: 31720 Highway 79 South, Temecula, CA, 92592
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326145756
Provider Name
Anita C. Jackson, M.d., Inc
Credential
Provider Entity Type
Organization
Address
31720 Highway 79 South, Temecula, CA, 92592
Phone Number
951-694-4688
Fax Number
951-694-4760
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
31720 Highway 79 South
City
Temecula
State
California
Zip
92592
Phone Number
951-694-4688
Fax Number
951-694-4760
person
Provider Business Mailing Address Details
Address
31720 Highway 79 South
City
Temecula
State
California
Zip
92592
Phone Number
951-694-4688
Fax Number
951-694-4760
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
A053675 (California)
Definition
Definition to come...
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