# ERIC JACKSON-SCOTT MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EJS Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538439302
- **Authorized official:** DR. ERIC JACKSON-SCOTT MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (310) 948-0485

## Contact information

- **Practice address:** 455 N PRAIRIE AVE, INGLEWOOD, CA 90301-1413
- **Practice address phone:** (310) 412-0183
- **Mailing address:** 2355 WESTWOOD BLVD STE 609, LOS ANGELES, CA 90064-2109
- **Mailing address phone:** (310) 948-0485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A115195 | CA | Yes |

## Other

- **Enumeration date:** 01/10/2012
- **Last updated:** 01/10/2012