Bruce K Jackson in San Pedro - Cardiovascular Disease
Bruce K Jackson - NPI 1609883438
Bruce K Jackson is a Cardiovascular Disease in San Pedro, California. Bruce K Jackson practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Bruce K Jackson is 1609883438. The last update date is 2015-01-27.
Bruce K Jackson's current location address is 1360 W 6th St, San Pedro, California. You can contact this provider via phone number 3105479922 and fax number 3105474673. The mailing address for Bruce K Jackson is 1360 W 6th St, San Pedro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce K Jackson |
|---|---|
| Address | 1360 W 6th St, San Pedro, California |
| Phone Number | 3105479922 |
| Fax Number | 3105474673 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1609883438 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2015-01-27 |
Provider Mailing Address Detail
| Address | 1360 W 6th St |
|---|---|
| City | San Pedro |
| State | California (CA) |
| Post Code | 907323514 |
| Phone Number | 3105479922 |
| Fax Number | 3105474673 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | A24716 |
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Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Bruce K Jackson by the Centers for Medicare & Medicaid Services?
The Bruce K Jackson has been issued the NPI (National Provider Identifier) 1609883438 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Bruce K Jackson is located?
The Bruce K Jackson is situated at the following address: 1360 W 6Th St, San Pedro, CA, 907323514.
What is the Bruce K Jackson's area of specialization and corresponding taxonomy classification?
The Bruce K Jackson's specialty field is Cardiovascular Disease, and it falls under the taxonomy code 207Rc0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1609883438 to Bruce K Jackson?
The Centers for Medicare & Medicaid Services assigned the 1609883438 to Bruce K Jackson on 2006-08-02.
As of what date were the details related to Bruce K Jackson most recently updated or revised?
The information pertaining to Bruce K Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2015-01-27.