Gavin N Jackson in San Diego - Endocrinology, Diabetes & Metabolism

Gavin N Jackson - NPI 1609033182

Gavin N Jackson is a Endocrinology, Diabetes & Metabolism in San Diego, California. Gavin N Jackson practices all healthcare services and medical treatments related to Endocrinology, Diabetes & Metabolism. The NPI Number for Gavin N Jackson is 1609033182. The last update date is 2015-01-29.

Gavin N Jackson's current location address is 4077 5th Ave, San Diego, California. You can contact this provider via phone number 6192607122 and fax number 6192607305. The mailing address for Gavin N Jackson is 4077 5th Ave, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Gavin N Jackson
Address 4077 5th Ave, San Diego, California
Phone Number 6192607122
Fax Number 6192607305
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1609033182
Provider Enumeration Date 2008-05-21
Last Updated Date 2015-01-29

Provider Mailing Address Detail

Address 4077 5th Ave
City San Diego
State California (CA)
Post Code 921032105
Phone Number 6192607122
Fax Number 6192607305

Provider's Primary Taxonomy Detail

Speciality Endocrinology, Diabetes & Metabolism
Taxonomy 207Re0101X
Licence No A110647
Definition:
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and men

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FAQs about Gavin N Jackson

What is the unique 10-digit identification code assigned to Gavin N Jackson by the Centers for Medicare & Medicaid Services?

The Gavin N Jackson has been issued the NPI (National Provider Identifier) 1609033182, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Gavin N Jackson is geographically located?

The Gavin N Jackson is physically situated at the following location: 4077 5Th Ave, San Diego, CA, 921032105.

What is Gavin N Jackson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Gavin N Jackson's specialized field of practice is Endocrinology, Diabetes & Metabolism, and the corresponding taxonomy code that categorizes this area of specialization is 207Re0101X.

On what date was the 1609033182 assigned to Gavin N Jackson?

The Gavin N Jackson was issued its 1609033182 on 2008-05-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Gavin N Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gavin N Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-01-29.

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