Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LADALE JACKSON SR.
ActiveMR. LADALE JACKSON SR. is a Homeopath healthcare provider located in CULVER CITY, California. NPI 1265143507 is currently active in the NPPES registry. Verify at CMS.
Homeopath · CULVER CITY, CA
Registration Details
- NPI Number
- 1265143507
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 7, 2022 (3.6854087507326 yrs)
- Last Updated
- Dec 7, 2022
Practice Information
- Address
-
5601 W SLAUSON AVE STE 130CULVER CITY, CA, 902306576Browse CA providers · Browse ZIP 90230
- Phone
- 3109100406
- Fax
- 3109280981
- Primary Specialty
-
Homeopath
175L00000X
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.