Ollie Joseph Jackson in Beverly Hills - Plastic And Reconstructive Surgery
Ollie Joseph Jackson - NPI 1104084698
Ollie Joseph Jackson is a Plastic And Reconstructive Surgery in Beverly Hills, California. Ollie Joseph Jackson practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Ollie Joseph Jackson is 1104084698. The last update date is 2023-03-15.
Ollie Joseph Jackson's current location address is 9001 Wilshire Blvd, Beverly Hills, California. You can contact this provider via phone number 3102738885 and fax number 3102738662. The mailing address for Ollie Joseph Jackson is 9001 Wilshire Blvd, Beverly Hills, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ollie Joseph Jackson |
|---|---|
| Address | 9001 Wilshire Blvd, Beverly Hills, California |
| Phone Number | 3102738885 |
| Fax Number | 3102738662 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104084698 |
|---|---|
| Provider Enumeration Date | 2008-05-30 |
| Last Updated Date | 2023-03-15 |
Provider Mailing Address Detail
| Address | 9001 Wilshire Blvd |
|---|---|
| City | Beverly Hills |
| State | California (CA) |
| Post Code | 902111838 |
| Phone Number | 3102738885 |
| Fax Number | 3102738662 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | A103543 |
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Definition: A surgeon who specializes in plastic and reconstructive surgery. |
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What is the unique identification code assigned to Ollie Joseph Jackson by the Centers for Medicare & Medicaid Services?
The Ollie Joseph Jackson has been issued the NPI (National Provider Identifier) 1104084698. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Ollie Joseph Jackson's physical address?
The Ollie Joseph Jackson is physically located at 9001 Wilshire Blvd, in the city of Beverly Hills, CA, with the postal code 902111838.
What is Ollie Joseph Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ollie Joseph Jackson is Plastic And Reconstructive Surgery, and the taxonomy classification code that categorizes this area of expertise is 2086S0122X.
When was the Ollie Joseph Jackson's 1104084698 issued?
The Ollie Joseph Jackson's 1104084698 was issued on 2008-05-30.
When was the information pertaining to Ollie Joseph Jackson most recently updated or revised?
The details related to Ollie Joseph Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-15.