Christa L Jackson Dental Hygienist, Inc.

LBN: Christa L Jackson Dental Hygienist, Inc.
Christa L Jackson Dental Hygienist, Inc. is an health care organization with primary practice located at 4508 Saint Clair Ave , Studio City CA 91604-1209. The organization recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as the primary health care specialty. Christa L Jackson Dental Hygienist, Inc. can be contacted via phone (818) 269-8898, or through Jackson, Christa Lynn via phone (818) 269-8898.

Contact Information

Primary practice address
4508 Saint Clair Ave Studio City CA 91604-1209
Phone: (818) 269-8898
Fax: (818) 506-2595
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Christa Lynn RDHAP
Phone: (818) 269-8898

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X

Profile Details

NPI number 1447827167
LBN Legal business name Christa L Jackson Dental Hygienist, Inc.
DBA Doing business as
Authorized official Jackson, Christa Lynn RDHAP
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2021
Last updated Aug 27th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447827167 NPPES
California MEDICAID 128592243

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