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George Robert Jackson, MD
Neurology Physician in Los Angeles, California
NPI 1689690539

George Robert Jackson is a Neurology Physician based in Los Angeles, CA and is specialized in Neurology. George Robert Jackson practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for George Robert Jackson is 1689690539 and holds a License No. A53511 (California).

The current practice location address for George Robert Jackson is 300 Medical Plaza, Los Angeles, CA and can be reached out via phone at 310-794-1195.

Location: 300 Medical Plaza, Los Angeles, CA, 90045-5631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689690539
Provider Name
George Robert Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
300 Medical Plaza, Los Angeles, CA, 90045-5631
Phone Number
310-794-1195
Fax Number
Provider Enumeration Date
07/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A535110 05 CA
institution
Provider Business Practice Location Address Details
Address
300 Medical Plaza
City
Los Angeles
State
California
Zip
90095-0001
Phone Number
310-794-1195
Fax Number
person
Provider Business Mailing Address Details
Address
300 Medical Plaza
City
Los Angeles
State
California
Zip
90095-0001
Phone Number
310-794-1195
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
A53511 (California)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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