location
search-icon
person
Mr. Brandon Jackson, RECOVERYPRACTIONER
Rehabilitation Practitioner in Los Angeles, California
NPI 1457994634

Brandon Jackson is a Rehabilitation Practitioner based in Los Angeles, CA. Brandon Jackson practices in Los Angeles, CA and has the professional credentials of RECOVERYPRACTIONER. The NPI Number for Brandon Jackson is 1457994634 and holds a License No. (California).

The current practice location address for Brandon Jackson is 1873 W 54Th St, Los Angeles, CA and can be reached out via phone at 562-794-7892 and via fax at 310-349-3660.

Location: 1873 W 54Th St, Los Angeles, CA, 90062-2604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457994634
Provider Name
Brandon Jackson
Credential
RECOVERYPRACTIONER
Provider Entity Type
Individual
Gender
Male
Address
1873 W 54Th St, Los Angeles, CA, 90062-2604
Phone Number
562-794-7892
Fax Number
310-349-3660
Provider Enumeration Date
10/21/2019
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1699246272 05 CA
institution
Provider Business Practice Location Address Details
Address
1873 W 54Th St
City
Los Angeles
State
California
Zip
90062-2604
Phone Number
562-794-7892
Fax Number
310-349-3660
person
Provider Business Mailing Address Details
Address
1873 W 54Th St
City
Los Angeles
State
California
Zip
90062-2604
Phone Number
562-794-7892
Fax Number
310-349-3660
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(California)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in Los Angeles, California:

person
Martha Contreras
NPI 1104957026
Rehabilitation Practitioner
840 North Ave 66,
LOS ANGELES, CA
90042-1508
562-746-4314
More
person
Charlene Robinson
NPI 1558581892
Rehabilitation Practitioner
8019 S. Compton Ave,
LOS ANGELES, CA
90001
323-586-7333
More