Organization
ERIC JACKSON-SCOTT MD INC
Active
Other names
EJS Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC JACKSON-SCOTT MD (MEDICAL DIRECTOR)
(310) 948-0485
Entity
Organization
Contact information
Practice address
455 N PRAIRIE AVE, INGLEWOOD, CA 90301-1413
(310) 412-0183
Mailing address
2355 WESTWOOD BLVD STE 609, LOS ANGELES, CA 90064-2109
(310) 948-0485
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A115195
CA
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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