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DR. RICHARD JOSEPH JACKSON M.D. NPI 1720317175


NPI Information

NPI: 1720317175
Provider Name: DR. RICHARD JOSEPH JACKSON, M.D.
Classification: Preventive Medicine - 2083P0901X
Entity Type: Individual

Specialization: Public Health & General Preventive Medicine

Address:
650 CHARLES E YOUNG DR S
EHS SPH UCLA BOX 56-070
LOS ANGELES, CA
ZIP 90095
Phone: (310) 206-8522
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DR. Richard Joseph Jackson, M.D. is a public health and general preventive medicine preventive medicine in Los Angeles, CA. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. DR. Richard Joseph Jackson, M.D. NPI is 1720317175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

650 CHARLES E YOUNG DR S
EHS SPH UCLA BOX 56-070
LOS ANGELES, CA
ZIP 90095-772
Phone: (310) 206-8522
Fax: (310) 794-2106

The enumeration date for this NPI number is 12/14/2009 and was last updated on 12/14/2009.


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
1208000000XPediatricsG34076CALIFORNIANo
22083P0901XPreventive MedicinePublic Health & General Preventive MedicineG34076CALIFORNIAYes

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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