Xochitl Jackson

NPI 1053402958 - Pediatrics - 208000000X

NPI Details
NPI 1053402958
Gender Female
Enumeration Date 09/27/2006
Last Updated 10/28/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1530 S OLIVE ST
LOS ANGELES CA, 90015-3023, US
Phone (213) 746-1037
Fax (213) 746-9379
Business Location
1530 S OLIVE ST
LOS ANGELES CA, 90015-3023, US
Phone
Fax
Toxanomy
Taxonomy Code 208000000X
License State California
License Number A90947
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According to our database, Xochitl Jackson NPI is 1053402958, taxonomy code is 208000000X and license number is A90947, license state is located at California. Xochitl Jackson physically located at 1530 S Olive St, Los Angeles CA, 90015-3023. NPI Number Xochitl Jackson has the Individual type.

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1053402958 NPI number is provided on an as is basis without warranty of any kind. 1053402958 is maintained by the National Plan & Provider Enumeration System. The contents of Xochitl Jackson are for informational purposes only.