Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JANETTE LEE JACKSON, PHYSICIAN ASSISTANT
ActiveMRS. JANETTE LEE JACKSON, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in LOS ANGELES, California. NPI 1639390578 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LOS ANGELES, CA
Registration Details
- NPI Number
- 1639390578
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 1, 2007 (19.28519477361 yrs)
- Last Updated
- Oct 15, 2019
- License
-
16118 (CA)
Practice Information
- Address
-
2618 SOUTH WESTERN AVENUELOS ANGELES, CA, 90018Browse CA providers · Browse ZIP 90018
- Phone
- 3237309000
- Fax
- 3237304825
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| MR. DANIEL PARK | P.A. | 1538162631 |
| DOMINICK A D'ANTUONO | PA-C | 1801898341 |
| MS. CARMEL NICHOLE RAPHAEL | PA | 1801883038 |
| MR. JOHNNY-AN THANH PHAM | PA C | 1457332504 |
| MISS JOVANA BALKIS | PA-C | 1235116039 |
| NGOC DUNG NGUYEN | P.A.-C | 1518931476 |
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.