Individual
DR. GAIL N JACKSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
8635 W 3RD ST, SUITE 680 WEST, LOS ANGELES, CA 90048-6101
(310) 659-2666
Mailing address
8635 W 3RD ST, SUITE 680 WEST, LOS ANGELES, CA 90048-6101
(310) 659-2666
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
G41783
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G417830
—
CA
Enumeration date
10/14/2005
Last updated
07/08/2007
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