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GAIL N JACKSON MD PC NPI 1184734196


NPI Information

NPI: 1184734196
Provider Name: GAIL N JACKSON MD PC
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
1333 OCEAN AVE
SANTA MONICA, CA
ZIP 90401
Phone: (310) 451-2300
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GAIL N JACKSON MD PC is a gynecology obstetrics gynecology in Santa Monica, CA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee GAIL N JACKSON MD PC NPI is 1184734196. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1333 OCEAN AVE
SANTA MONICA, CA
ZIP 90401-023
Phone: (310) 451-2300
Fax: (310) 451-2325

The provider's authorized official is Gail N Jackson .
The authorized official title is Ceo/owner and has the following contact phone number (310) 659-2666.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 5/19/2012.


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
1207VG0400XObstetrics & GynecologyGynecologyG41783CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ET547AOTHERCALIFORNIAMEDICARE
2G41783MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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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