Individual provider · Type 1 NPI

Ollie Joseph Jackson Iii, MD

Surgery Physician · Beverly Hills, CA

NPI number 1104084698 Active

Practice location

9001 Wilshire Blvd, Suite #106
Beverly Hills, CA 90211-1838

Call (310) 273-8885 Map

Fax (310) 273-8662

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician 2086S0122XA103543 (CA)
Surgery Physician Primary 208600000XA103543 (CA)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1104084698

Ollie Joseph Jackson Iii, MD's National Provider Identifier is 1104084698, issued on May 30, 2008. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Beverly Hills, CA. The record was last updated on Mar 15, 2023.