David Bruce Jackson in Chino Hills - Diagnostic Radiology
David Bruce Jackson - NPI 1063564748
David Bruce Jackson is a Diagnostic Radiology in Chino Hills, California. David Bruce Jackson practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for David Bruce Jackson is 1063564748. The last update date is 2016-02-10.
David Bruce Jackson's current location address is 3233 Grand Ave # N415, Chino Hills, California. You can contact this provider via phone number 6268215903. The mailing address for David Bruce Jackson is 3233 Grand Ave # N415, Chino Hills, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Bruce Jackson |
|---|---|
| Address | 3233 Grand Ave # N415, Chino Hills, California |
| Phone Number | 6268215903 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1063564748 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2016-02-10 |
Provider Mailing Address Detail
| Address | 3233 Grand Ave # N415 |
|---|---|
| City | Chino Hills |
| State | California (CA) |
| Post Code | 917091489 |
| Phone Number | 6268215903 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | G68901 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01433610 | CA | RAILROAD MEDICARE | |
| 1063564748 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to David Bruce Jackson by the Centers for Medicare & Medicaid Services?
The David Bruce Jackson has been assigned the NPI (National Provider Identifier) 1063564748. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where David Bruce Jackson's facilities are geographically located?
The facilities of David Bruce Jackson are physically situated at the following location: 3233 Grand Ave # N415, Chino Hills, CA, 917091489.
What is David Bruce Jackson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for David Bruce Jackson is Diagnostic Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0202X.
When was the David Bruce Jackson's 1063564748 issued?
The David Bruce Jackson's 1063564748 was issued on 2007-01-16.
As of what date were the details pertaining to David Bruce Jackson last refreshed?
The information related to the David Bruce Jackson, including its address, specialty, and other relevant details, was last updated on 2016-02-10.