| NPI | 1891711289 |
|---|---|
| Doing Business As | JACKSON MEDICAL GROUP INC |
| Entity Type | Organization |
| Authorized Contact | KAREN M ENGBERG President 805-682-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2014-01-17 |