NPI 1265143507
Ladale Jackson
Practice location
- Address
- 5601 W Slauson Ave STE 130, Culver City, CA 90230-6576
- Phone
- (310) 910-0406
- Fax
- (310) 928-0981
Registered specialties
Homeopath
Primary
Registry record
- NPI
- 1265143507
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Dec 2022
- Record last updated
- 7 Dec 2022
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.