Organization
ROBERT J JACKSON M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J JACKSON M.D. (OWNER)
(949) 588-5800
Entity
Organization
Contact information
Practice address
23961 CALLE DE LA MAGDALENA STE 405, LAGUNA HILLS, CA 92653-3683
(949) 588-5800
(949) 380-3344
Mailing address
23961 CALLE DE LA MAGDALENA STE 405, LAGUNA HILLS, CA 92653-3683
(949) 588-5800
(949) 380-3344
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A71112
CA
Other
Enumeration date
07/05/2006
Last updated
10/02/2024
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