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ERIC JACKSON-SCOTT MD INC NPI 1538439302


NPI Information

NPI: 1538439302
Provider Name: ERIC JACKSON-SCOTT MD INC

Doing Business As: EJS MEDICAL GROUP

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
455 N PRAIRIE AVE
INGLEWOOD, CA
ZIP 90301
Phone: (310) 412-0183
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ERIC JACKSON-SCOTT MD INC is a general practice in Inglewood, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ERIC JACKSON-SCOTT MD INC NPI is 1538439302. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ejs Medical Group.

The provider's business location address is:

455 N PRAIRIE AVE
INGLEWOOD, CA
ZIP 90301-413
Phone: (310) 412-0183

The provider's authorized official is Eric Jackson-scott .
The authorized official title is Medical Director and has the following contact phone number (310) 948-0485.

The enumeration date for this NPI number is 1/10/2012 and was last updated on 1/10/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeA115195CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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