Jackson, Bruce K

Jackson, Bruce K is an individual health care provider with primary practice located at 520 N Prospect Ave Ste. 300, Redondo Beach CA 90277-3041. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Jackson, Bruce K can be contacted via phone (310) 372-1156.

Contact Information

Primary practice address
520 N Prospect Ave Ste. 300 Redondo Beach CA 90277-3041
Phone: (310) 372-1156
Fax: (310) 372-6504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A24716 California

Profile Details

NPI number 1609883438
LBN Legal business name Jackson, Bruce K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Jan 27th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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