TYLER PEMBROKE JACKSON

SANTA MONICA, CA
NPI1295355816
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: CA  A196288)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: AZ  R77929)
Enumeration Date2020-04-23
Last Update Date2024-08-30
Business Address
Dr. TYLER PEMBROKE JACKSON MD
1250 16TH ST STE 2100
SANTA MONICA, CA 90404-1249
Phone number: 424-259-6593
Mailing Address
Dr. TYLER PEMBROKE JACKSON MD
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: