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Dr. Peter J Jackson, MD
Pediatric Adolescent Medicine Physician in Pasadena, California
NPI 1366536328

Peter J Jackson is a Pediatric Adolescent Medicine Physician based in Pasadena, CA and is specialized in Adolescent Medicine. Peter J Jackson practices in Pasadena, CA and has the professional credentials of MD. The NPI Number for Peter J Jackson is 1366536328 and holds a License No. G46502 (California).

The current practice location address for Peter J Jackson is 504 S Sierra Madre Blvd, Pasadena, CA and can be reached out via phone at 626-795-8811 and via fax at 626-795-0935.

Location: 504 S Sierra Madre Blvd, Pasadena, CA, 91107-5240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366536328
Provider Name
Peter J Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
504 S Sierra Madre Blvd, Pasadena, CA, 91107-5240
Phone Number
626-795-8811
Fax Number
626-795-0935
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
504 S Sierra Madre Blvd
City
Pasadena
State
California
Zip
91107-5240
Phone Number
626-795-8811
Fax Number
626-795-0935
person
Provider Business Mailing Address Details
Address
504 S Sierra Madre Blvd
City
Pasadena
State
California
Zip
91107-5240
Phone Number
626-795-8811
Fax Number
626-795-0935
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
G46502 (California)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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