Carol Jackson, M.D.

LBN: E C America
Carol Jackson, M.D. is an health care organization with primary practice located at 361 Hospital Rd Suite 325, Newport Beach CA 92663-3522. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. E C America can be contacted via phone (949) 651-3415, or through Jackson, Carol via phone (949) 651-3415.

Contact Information

Primary practice address
361 Hospital Rd Suite 325 Newport Beach CA 92663-3522
Phone: (949) 651-3415
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Carol Doctor of Medicine (MD)
Phone: (949) 651-3415

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X D3824 California

Profile Details

NPI number 1326285180
LBN Legal business name E C America
DBA Doing business as Carol Jackson, M.D.
Authorized official Jackson, Carol Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2009
Last updated Oct 18th, 2012 - about 12 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 1326285180 NPPES
California Other G50085 MEDICARE PTAN

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