Charles W Jackson Md Inc

LBN: Charles W Jackson Md Inc
Charles W Jackson Md Inc is an health care organization with primary practice located at 17122 Beach Blvd Ste. 102, Huntington Beach CA 92647-5992. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Charles W Jackson Md Inc can be contacted via phone (714) 847-6545, or through Jackson, Charles via phone (714) 847-6545.

Contact Information

Primary practice address
17122 Beach Blvd Ste. 102 Huntington Beach CA 92647-5992
Phone: (714) 847-6545
Fax: (714) 847-6547
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Charles Doctor of Medicine (MD)
Phone: (714) 847-6545

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X G35311 California

Profile Details

NPI number 1851594006
LBN Legal business name Charles W Jackson Md Inc
DBA Doing business as
Authorized official Jackson, Charles Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2007
Last updated Jul 28th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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