Individual
DR. JODILANA KALAI JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
710 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(408) 554-9820
Mailing address
710 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A97222
CA
207V00000X
Obstetrics & Gynecology Physician
MD-15311
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000288308
HMSA BILLING NUMBER
HI
05
—
636368-02
—
HI
Enumeration date
11/16/2007
Last updated
01/25/2022
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