CHARLES W JACKSON MD INC

HUNTINGTON BEACH, CA
NPI1851594006
Entity TypeOrganization
Authorized ContactCHARLES JACKSON
President
714-847-6545
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
(Licence: CA  G35311)
Enumeration Date2007-06-06
Last Update Date2010-07-28
Business Address
CHARLES W JACKSON MD INC
17122 BEACH BLVD STE. 102
HUNTINGTON BEACH, CA 92647-5992
Phone number: 714-847-6545
Mailing Address
CHARLES W JACKSON MD INC
PO BOX 7630
LAGUNA NIGUEL, CA 92607-7630
Phone number: 949-643-3345
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