Minal Damani Jackson, MD is a
Dermatology physician based in Camp Pendleton, California. Minal Damani Jackson is licensed to practice in California (license number A111952) and her current practice location is 200 Mercy Ct, Camp Pendleton, California. She can be reached at her office (for appointments etc.) via phone at
(760) 719-4062.
NPI number for Minal Damani Jackson is 1235101346 and her current mailing address is 8080 Parkway Dr, La Mesa Medical Offices, La Mesa, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235101346.
Physician's Profile
| Full Name | Minal Damani Jackson |
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| Gender | Female |
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| Speciality | Dermatology |
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| Location | 200 Mercy Ct, Camp Pendleton, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1235101346
- Provider Enumeration Date: 02/02/2006
- Last Update Date: 03/05/2025
Medical Identifiers
Medical identifiers for Minal Damani Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235101346 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | A111952 (California) | 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. Minal Damani 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 |
|---|
Minal Damani Jackson, MD
8080 Parkway Dr, La Mesa Medical Offices,
La Mesa, CA 91942-2104
Ph: (619) 589-3403 | Minal Damani Jackson, MD
200 Mercy Ct,
Camp Pendleton, CA 92055
Ph: (760) 719-4062 |
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