Whalio Doctors

NPI 1871660613

Kent R Jackson, MD

Practitioner Neuromusculoskeletal Medicine & OMM Physician Harbor City, CA

Practice location

Address
25825 Vermont Ave, Harbor City, CA 90710-3518
Phone
(310) 325-5111

Registered specialties

Neuromusculoskeletal Medicine & OMM Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence A78820 (CA)

Registry record

NPI
1871660613
Entity type
Individual
Sex (as registered)
Male
NPI issued
29 Nov 2006
Record last updated
30 Nov 2021

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.