Jackson, Cody Ronald

Jackson, Cody Ronald is an sole proprietor health care provider with primary practice located at 3900 5Th Ave Ste 110 , San Diego CA 92103-3122. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Jackson, Cody Ronald can be contacted via phone (858) 554-1212.

Contact Information

Primary practice address
3900 5Th Ave Ste 110 San Diego CA 92103-3122
Phone: (858) 554-1212
Fax: (858) 795-1195
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X A162265 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X A162265 California

Profile Details

NPI number 1770715146
LBN Legal business name Jackson, Cody Ronald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2009
Last updated Jul 5th, 2022 - about 3 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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