Jackson, Elena B

Jackson, Elena B is an individual health care provider with primary practice located at 770 Magnolia Ave Suite 2A , Corona CA 92879-3122. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jackson, Elena B can be contacted via phone (951) 736-8144.

Contact Information

Primary practice address
770 Magnolia Ave Suite 2A Corona CA 92879-3122
Phone: (951) 736-8144
Fax: (951) 736-0701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A97558 California

Profile Details

NPI number 1285850974
LBN Legal business name Jackson, Elena B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated May 1st, 2012 - about 13 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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