institution
Charles W Jackson Md Inc
General Practice Physician in Huntington Beach, California
NPI 1851594006

Charles W Jackson Md Inc is a General Practice Physician based in Laguna Niguel, CA. Charles W Jackson Md Inc practices in Huntington Beach, CA. The NPI Number for Charles W Jackson Md Inc is 1851594006 and holds a License No. G35311 (California).

The current practice location address for Charles W Jackson Md Inc is 17122 Beach Blvd, Huntington Beach, CA and can be reached out via phone at 714-847-6545 and via fax at 714-847-6547.

Location: 17122 Beach Blvd, Huntington Beach, CA, 92607-7630
institution
Provider Profile Details
NPI Number
1851594006
Provider Name
Charles W Jackson Md Inc
Credential
Provider Entity Type
Organization
Address
17122 Beach Blvd, Huntington Beach, CA, 92607-7630
Phone Number
714-847-6545
Fax Number
714-847-6547
Provider Enumeration Date
06/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17122 Beach Blvd
City
State
Zip
92647-5992
Phone Number
714-847-6545
Fax Number
714-847-6547
person
Provider Business Mailing Address Details
Address
17122 Beach Blvd
City
State
Zip
92647-5992
Phone Number
714-847-6545
Fax Number
714-847-6547
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
G35311 (California)
Definition
Definition to come...
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