Jackson, Joy Marie

Jackson, Joy Marie is an individual health care provider with primary practice located at 15206 Parthenia St , North Hills CA 91343-5305. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jackson, Joy Marie can be contacted via phone (818) 895-3100.

Contact Information

Primary practice address
15206 Parthenia St North Hills CA 91343-5305
Phone: (818) 895-3100
Fax: (818) 893-9464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A97372 California

Profile Details

NPI number 1699964908
LBN Legal business name Jackson, Joy Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2007
Last updated Nov 30th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699964908 NPPES
California MEDICAID HAP70436F
California MEDICAID EAP70436F
California MEDICAID FHC70436F
California Other W11698

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