Organization
JACKSON MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW JACKSON (OWNER)
(510) 222-1075
Entity
Organization
Contact information
Practice address
2930B HILLTOP MALL RD, RICHMOND, CA 94806-1902
(510) 222-1075
(510) 222-1575
Mailing address
2930B HILLTOP MALL RD, RICHMOND, CA 94806-1902
(510) 222-1075
(510) 222-1575
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DME02720F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02720F
—
CA
Enumeration date
05/31/2005
Last updated
08/22/2020
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