Individual provider · Type 1 NPI

Cody Ronald Jackson, MD

General Practice Physician · San Diego, CA

NPI number 1770715146 Active

Practice location

3900 5th Ave Ste 110
San Diego, CA 92103-3122

Call (858) 554-1212 Map

Fax (858) 795-1195

Mailing address

9850 Genesee Ave, Ste 320
La Jolla, CA 92037-1208

Specialties and licenses

TaxonomyCodeLicense
Occupational Medicine Physician 2083X0100XA162265 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Physician Primary 208D00000XA162265 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1770715146

Cody Ronald Jackson, MD's National Provider Identifier is 1770715146, issued on Aug 18, 2009. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in San Diego, CA. The record was last updated on Jul 5, 2022.