Individual provider · Type 1 NPI

Keith A. Jackson, MD

Otolaryngology Physician · San Diego, CA

NPI number 1124091970 Active

Practice location

5405 Oberlin Dr Fl 2
San Diego, CA 92121-1700

Fax (858) 909-0880

Mailing address

PO Box 500877
San Diego, CA 92150-0877

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician 207Y00000XG58187 (CA)
Otology & Neurotology Physician 207YX0901X8547 (NV)
Otolaryngology Physician Primary 207Y00000X8547 (NV)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1124091970

Keith A. Jackson, MD's National Provider Identifier is 1124091970, issued on Feb 10, 2006. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in San Diego, CA. The record was last updated on Jan 25, 2024.