Individual
DR. TYLER PEMBROKE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 16TH ST STE 2100, SANTA MONICA, CA 90404-1249
(424) 259-6593
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A196288
CA
207P00000X
Emergency Medicine Physician
R77929
AZ
207X00000X
Orthopaedic Surgery Physician
Primary
A196288
CA
Other
Enumeration date
04/23/2020
Last updated
02/02/2026
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