Jackson Lee is a Sports Medicine in Los Angeles, California. Jackson Lee practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jackson Lee is 1669527289. The last update date is 2015-03-02.
Jackson Lee's current location address is 1520 San Pablo St, Los Angeles, California. You can contact this provider via phone number 3234425860. The mailing address for Jackson Lee is 1520 San Pablo St, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackson Lee |
|---|---|
| Address | 1520 San Pablo St, Los Angeles, California |
| Phone Number | 3234425860 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1669527289 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2015-03-02 |
Provider Mailing Address Detail
| Address | 1520 San Pablo St |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900335310 |
| Phone Number | 3234425860 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | G62123 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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What is the unique identifier code issued to Jackson Lee by the Centers for Medicare & Medicaid Services?
The Jackson Lee has been assigned the NPI (National Provider Identifier) 1669527289. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jackson Lee's facilities are situated?
The facilities of Jackson Lee are physically located at the following address: 1520 San Pablo St, Los Angeles, CA, 900335310.
What is Jackson Lee's area of expertise and its corresponding taxonomy classification?
The Jackson Lee's field of specialization is Sports Medicine, and it falls under the taxonomy code 207Xx0005X, which categorizes healthcare providers based on their areas of practice.
On what date did Jackson Lee receive its 1669527289 assignment from the Centers for Medicare & Medicaid Services?
The Jackson Lee was assigned its 1669527289 on 2007-01-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Jackson Lee's information last updated?
The Jackson Lee's information was last updated on 2015-03-02.
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