Individual provider · Type 1 NPI

Makalah Jackson

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

NPI number 1487575965 Active

Practice location

160 N El Molino Ave
Pasadena, CA 91101-1805

Call (626) 792-2770 Map

Mailing address

11950 Erwin St Apt 105
North Hollywood, CA 91606-3351

Other practice locations

  • 169 N Oak Knoll, Pasadena, CA 91101 · (626) 792-2770
  • 173 N. Oak Knoll, Pasadena, CA 91101 · (626) 792-2770

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 1487575965

Makalah Jackson's National Provider Identifier is 1487575965, issued on Jul 22, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pasadena, CA. The record was last updated on Aug 5, 2026.