person
Titus Clinton Jackson, PA-C
Surgical Physician Assistant in Los Angeles, California
NPI 1700224011

Titus Clinton Jackson is a Surgical Physician Assistant based in Los Angeles, CA and is specialized in Surgical. Titus Clinton Jackson practices in Los Angeles, CA and has the professional credentials of PA-C. The NPI Number for Titus Clinton Jackson is 1700224011 and holds a License No. 99220 (California).

The current practice location address for Titus Clinton Jackson is 444 S San Vicente Blvd Ste 603, Los Angeles, CA and can be reached out via phone at 310-423-4566.

Location: 444 S San Vicente Blvd Ste 603, Los Angeles, CA, 90048-4178
person
Provider Profile Details
NPI Number
1700224011
Provider Name
Titus Clinton Jackson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
444 S San Vicente Blvd Ste 603, Los Angeles, CA, 90048-4178
Phone Number
310-423-4566
Fax Number
Provider Enumeration Date
06/08/2013
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
444 S San Vicente Blvd Ste 603
City
State
Zip
90048-4178
Phone Number
310-423-4566
Fax Number
person
Provider Business Mailing Address Details
Address
444 S San Vicente Blvd Ste 603
City
State
Zip
90048-4178
Phone Number
310-423-4566
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
99220 (California)
Definition
Definition to come...
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