DOUGLAS W. JACKSON M.D. – NPI #1386624484
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

DOUGLAS JACKSON is a specialist located in LONG BEACH, CA. NPPES has assigned the NPI number 1386624484 to DOUGLAS JACKSON on January 17, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 174400000X from the Health Care Provider Taxonomy code set, which is classified as Specialist.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. See the complete NPI profile for DOUGLAS JACKSON below.

NPI Profile for
DOUGLAS W. JACKSON

NPI Number
1386624484
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DOUGLAS W. JACKSON
Credentials
M.D.
Primary location
2760 ATLANTIC AVE
LONG BEACH, CA 90806-2755
Phone: (562) 424-6666 Fax: (562) 424-7122
Mailing address
Same as primary location
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
174400000X
- Specialist (Primary)
CA G13338

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.