Jackson, Richard Joseph

Jackson, Richard Joseph is an sole proprietor health care provider with primary practice located at 650 Charles E Young Dr S Ehs Sph Ucla Box 56-070, Los Angeles CA 90095-1772. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is his primary health care specialty. Jackson, Richard Joseph can be contacted via phone (310) 206-8522.

Contact Information

Primary practice address
650 Charles E Young Dr S Ehs Sph Ucla Box 56-070 Los Angeles CA 90095-1772
Phone: (310) 206-8522
Fax: (310) 794-2106
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G34076 California
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X G34076 California

Profile Details

NPI number 1720317175
LBN Legal business name Jackson, Richard Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2009
Last updated Dec 14th, 2009 - about 17 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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