Individual
DR. TAYLOR JEREMY DEANE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-8649
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-8649
(714) 509-4788
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
327035
NY
207X00000X
Orthopaedic Surgery Physician
65864
MN
207X00000X
Orthopaedic Surgery Physician
A184355
CA
Other
Enumeration date
03/27/2018
Last updated
08/15/2025
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