Individual
JACKSON C FU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44241 15TH ST W, STE 303, LANCASTER, CA 93534-4037
(661) 948-4691
(661) 949-5831
Mailing address
44241 15TH ST W, STE 303, LANCASTER, CA 93534-4037
(661) 948-4691
(661) 949-5831
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A41310
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A413100
—
CA
Enumeration date
10/06/2005
Last updated
12/29/2011
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