Individual
ANNA JACKANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1510 SAN PABLO ST, LOS ANGELES, CA 90033-5320
(323) 276-3707
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
A179454
CA
Other
Enumeration date
03/23/2020
Last updated
01/30/2025
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