Jackson, Gary D

Jackson, Gary D is an individual health care provider with primary practice located at 4610 Santa Anita Blvd, Suite D , El Monte CA 91731. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Jackson, Gary D can be contacted via phone (626) 453-3432.

Contact Information

Primary practice address
4610 Santa Anita Blvd, Suite D El Monte CA 91731
Phone: (626) 453-3432
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 3055-R California

Profile Details

NPI number 1033462932
LBN Legal business name Jackson, Gary D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2012
Last updated Oct 17th, 2012 - about 14 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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