Individual provider · Type 1 NPI

Charles William Jackson, MD

General Practice Physician · Huntington Beach, CA

NPI number 1083662845 Active

Practice location

17122 Beach Blvd, Suite 102
Huntington Beach, CA 92647-5992

Call (714) 847-6545 Map

Fax (714) 847-6547

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XG35311 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1083662845

Charles William Jackson, MD's National Provider Identifier is 1083662845, issued on May 4, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Huntington Beach, CA. The record was last updated on Jul 30, 2010.