Peter J Jackson in Pasadena - Adolescent Medicine
Peter J Jackson - NPI 1366536328
Peter J Jackson is a Adolescent Medicine in Pasadena, California. Peter J Jackson practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Peter J Jackson is 1366536328. The last update date is 2007-07-08.
Peter J Jackson's current location address is 504 S Sierra Madre Blvd, Pasadena, California. You can contact this provider via phone number 6267958811 and fax number 6267950935. The mailing address for Peter J Jackson is 504 S Sierra Madre Blvd, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter J Jackson |
|---|---|
| Address | 504 S Sierra Madre Blvd, Pasadena, California |
| Phone Number | 6267958811 |
| Fax Number | 6267950935 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1366536328 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 504 S Sierra Madre Blvd |
|---|---|
| City | Pasadena |
| State | California (CA) |
| Post Code | 911075240 |
| Phone Number | 6267958811 |
| Fax Number | 6267950935 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | G46502 |
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Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Post Comment/ Review Below
What is the Peter J Jackson's unique identification number?
The Peter J Jackson has been assigned the NPI (National Provider Identifier) Number 1366536328 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Peter J Jackson's facilities are situated?
The facilities of Peter J Jackson are physically located at the following address: 504 S Sierra Madre Blvd, Pasadena, CA, 911075240.
What is the Peter J Jackson's area of specialization and corresponding taxonomy classification?
The Peter J Jackson's specialty field is Adolescent Medicine, and it falls under the taxonomy code 2080A0000X, which categorizes healthcare providers based on their specialties.
On what date did the Peter J Jackson receive the assignment of its 1366536328 from the Centers for Medicare & Medicaid Services?
The Peter J Jackson was issued its 1366536328 by the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date was the information pertaining to Peter J Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Peter J Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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