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Dr. James M Jackson, MD
Specialist in Los Alamitos, California
NPI 1619060134

James M Jackson is a Specialist based in Long Beach, CA. James M Jackson practices in Los Alamitos, CA and has the professional credentials of MD. The NPI Number for James M Jackson is 1619060134 and holds a License No. G74843 (California).

The current practice location address for James M Jackson is 3771 Katella Ave, Los Alamitos, CA and can be reached out via phone at 562-430-3561 and via fax at 562-431-8882.

Location: 3771 Katella Ave, Los Alamitos, CA, 90813-3265
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619060134
Provider Name
James M Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3771 Katella Ave, Los Alamitos, CA, 90813-3265
Phone Number
562-430-3561
Fax Number
562-431-8882
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G748430 05 CA
G74843 01 CA LICENSE
institution
Provider Business Practice Location Address Details
Address
3771 Katella Ave
City
Los Alamitos
State
California
Zip
90720
Phone Number
562-430-3561
Fax Number
562-431-8882
person
Provider Business Mailing Address Details
Address
3771 Katella Ave
City
Los Alamitos
State
California
Zip
90720
Phone Number
562-430-3561
Fax Number
562-431-8882
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G74843 (California)
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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