John Jackson, is a
Rehabilitation Practitioner based in Torrance, California. John Jackson is licensed to practice in * (Not Available) (license number ) and his current practice location is
4025 W 226th St, Torrance, California. He can be reached at his office (for appointments etc.) via phone at
(310) 373-4556.
NPI number for John Jackson is 1811673353 and his current mailing address is 4025 W 226th St, Torrance, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811673353.
Healthcare Provider's Profile
| Full Name | John Jackson |
|---|
| Gender | Male |
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| Speciality | Rehabilitation Practitioner |
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| Location | 4025 W 226th St, Torrance, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811673353
- Provider Enumeration Date: 06/27/2023
- Last Update Date: 12/14/2024
Medical Identifiers
Medical identifiers for John Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811673353 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John Jackson,
4025 W 226th St,
Torrance, CA 90505-2340
Ph: (310) 373-4556 | John Jackson,
4025 W 226th St,
Torrance, CA 90505-2340
Ph: (310) 373-4556 |
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