| NPI | 1326285180 |
|---|---|
| Other Name | CAROL JACKSON, M.D. |
| Entity Type | Organization |
| Authorized Contact | CAROL JACKSON Director 949-651-3415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA D3824) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2012-10-18 |