Jackson, Bruce K
Jackson, Bruce K is an individual health care provider with primary practice located at 520 N Prospect Ave Ste. 300, Redondo Beach CA 90277-3041. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Jackson, Bruce K can be contacted via phone (310) 372-1156.Contact Information
Primary practice address
520 N Prospect Ave Ste. 300
Redondo Beach CA 90277-3041
Phone: (310) 372-1156
Fax: (310) 372-6504
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A24716 | California |
Profile Details
NPI number | 1609883438 |
---|---|
LBN Legal business name | Jackson, Bruce K |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 2nd, 2006 |
Last updated | Jan 27th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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