Individual provider · Type 1 NPI

Jason Robert Jackson-Landau

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1114717063 Active

Practice location

8831 Venice Blvd
Los Angeles, CA 90034-3223

Call (310) 204-5200 Map

Mailing address

2739 Woodstock Rd
Los Angeles, CA 90046-1118

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114717063

Jason Robert Jackson-Landau's National Provider Identifier is 1114717063, issued on May 12, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on May 12, 2025.