NPI 1003146168

Bernice Boddie Jackson, MD

Practitioner Occupational Medicine Physician Los Angeles, CA

Practice location

Address: 241 N. Figueroa St., Los Angeles, CA 90012-2601
Phone: (213) 989-7168
Mailing address: P.O. Box 19788, Los Angeles, CA 90019-0788

Registered specialties

Occupational Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence G37001 (CA)

Other Preventive Medicine providers in California →

Registry record

NPI: 1003146168
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jan 2010
Record last updated: 12 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.