Individual provider · Type 1 NPI

La Porsche Michelle Jackson, M.ED/CI

Rehabilitation Practitioner · Riverside, CA

NPI number 1760274831 Active

Practice location

10672 Pendleton St
Riverside, CA 92505-1740

Call (310) 912-5168 Map

Mailing address

22890 Pahute Dr
Moreno Valley, CA 92553-6427

Other practice locations

  • 2201 E 4th St, Santa Ana, CA 92705-3804 · (310) 912-5168

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone 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.

6 other providers at this address

Other rehabilitation practitioner providers in Riverside

See all in Riverside →

About NPI 1760274831

La Porsche Michelle Jackson, M.ED/CI's National Provider Identifier is 1760274831, issued on May 22, 2025. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Riverside, CA. The record was last updated on Jun 10, 2026.