Individual
AKIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3870 CRENSHAW BLVD STE 212, LOS ANGELES, CA 90008-1815
(323) 290-5058
Mailing address
3870 CRENSHAW BLVD STE 212, LOS ANGELES, CA 90008-1815
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
09/24/2025
Last updated
09/25/2025
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