Individual provider · Type 1 NPI

Richard Anthony Jack, MD

Neonatal-Perinatal Medicine Physician · Tarzana, CA

NPI number 1306289129 Active

Practice location

18321 Clark St
Tarzana, CA 91356-3501

Call (818) 708-5570 Map

Fax (818) 708-5471

Mailing address

4140 W 190th St
Torrance, CA 90504-5513

Other practice locations

  • 500 University Dr, H085, Hershey, PA 17033-2360 · (917) 405-2405

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Neonatal-Perinatal Medicine Physician Primary 2080N0001XC175889 (CA)

Neonatal-Perinatal Medicine Physician: A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

129 other providers at this address

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About NPI 1306289129

Richard Anthony Jack, MD's National Provider Identifier is 1306289129, issued on Apr 10, 2013. The primary taxonomy on file is Neonatal-Perinatal Medicine Physician (2080N0001X), and the practice location is in Tarzana, CA. The record was last updated on Dec 28, 2022.