Individual provider · Type 1 NPI

Rodney Jackson

Rehabilitation Practitioner · Los Angeles, CA

NPI number 1306981295 Active

Practice location

5054 S Vermont Ave
Los Angeles, CA 90037-2946

Call (323) 373-2444 Map

Mailing address

1912 W 112th St
Los Angeles, CA 90047-4739

Other practice locations

  • 3031 S Vermont Ave, Los Angeles, CA 90007-3033 · (323) 373-2400
  • 5849 Crocker St Unit L, Los Angeles, CA 90003-1311 · (323) 234-4445

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1306981295

Rodney Jackson's National Provider Identifier is 1306981295, issued on Feb 20, 2007. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 15, 2025.