Robert J Jackson M.D., INC.
Neurological Surgery in Laguna Hills, CA. Organization (NPI-2).
NPI number1538190830
StatusActive
Last updated in NPPESOct 2, 2024
Details
- NPI
- 1538190830
- Entity type
- Organization (NPI-2)
- Legal business name
- Robert J Jackson M.D., INC.
- Organization subpart
- No
- Enumeration date
- Jul 5, 2006
- Certification date
- Oct 2, 2024
- Last updated
- Oct 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | A71112 | CA | Yes |
Practice location
23961 Calle De La Magdalena Ste 405Laguna Hills, CA 92653-3683
Phone 949-588-5800 · Fax 949-380-3344
Mailing address
23961 Calle De La Magdalena Ste 405Laguna Hills, CA 92653-3683
Phone 949-588-5800 · Fax 949-380-3344
Authorized official
Robert J Jackson
Owner
9495885800
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