Individual provider · Type 1 NPI

Jill Jackson

Specialist · Los Angeles, CA

NPI number 1235265513 Active

Practice location

1111 W 6th St, Suite # 111
Los Angeles, CA 90017-1800

Call (213) 482-6400 Map

Fax (213) 482-6408

Mailing address

600 St Paul Ave, Ste 100
Los Angeles, CA 90017-2038

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1235265513

Jill Jackson's National Provider Identifier is 1235265513, issued on Feb 23, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 27, 2012.