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Dr. Cody Ronald Jackson, MD
General Practice Physician in San Diego, California
NPI 1770715146

Cody Ronald Jackson is a General Practice Physician based in La Jolla, CA. Cody Ronald Jackson practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Cody Ronald Jackson is 1770715146 and holds a License No. A162265 (California).

The current practice location address for Cody Ronald Jackson is 3900 5Th Ave Ste 110, San Diego, CA and can be reached out via phone at 858-554-1212 and via fax at 858-795-1195.

Location: 3900 5Th Ave Ste 110, San Diego, CA, 92037-1208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770715146
Provider Name
Cody Ronald Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3900 5Th Ave Ste 110, San Diego, CA, 92037-1208
Phone Number
858-554-1212
Fax Number
858-795-1195
Provider Enumeration Date
08/18/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3900 5Th Ave Ste 110
City
San Diego
State
California
Zip
92103-3122
Phone Number
858-554-1212
Fax Number
858-795-1195
person
Provider Business Mailing Address Details
Address
3900 5Th Ave Ste 110
City
San Diego
State
California
Zip
92103-3122
Phone Number
858-554-1212
Fax Number
858-795-1195
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Occupational Medicine
Taxonomy
2083X0100X
License No.
A162265 (California)
Definition
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
A162265 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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