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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANITA CAL JACKSON, M.D.

Active

ANITA CAL JACKSON, M.D. is a Adolescent Medicine healthcare provider located in TEMECULA, California. NPI 1063519486 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine · TEMECULA, CA

Registration Details

NPI Number
1063519486
Provider Type
Individual
Gender
Female
NPI Issued
Sep 20, 2006 (19.941116396835 yrs)
Last Updated
Jul 29, 2024
Licenses
A053675 (CA)
A053675 (CA)

Practice Information

Address
44274 GEORGE CUSHMAN CT STE 212
TEMECULA, CA, 925925945
Browse CA providers · Browse ZIP 92592
Phone
9516944688
Fax
8888273492
Primary Specialty
Adolescent Medicine
207QA0505X
Additional Specialty
Adolescent Medicine

Other Adolescent Medicine Providers in TEMECULA, CA

Name Credential NPI
FEROZAN KARIMI 1992062186
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.