MR. HEATH JACKSON

Case Manager/Care Coordinator

Active Individual
NPI: 1114462199

Practice Address

4025 W 226TH ST
Torrance, CA 90505

Phone: (310) 373-4556

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1114462199 is the National Provider Identifier for MR. HEATH JACKSON, a Case Manager/Care Coordinator provider located in Torrance, CA. This NPI was enumerated on December 29, 2016.
MR. HEATH JACKSON practices at 4025 W 226TH ST, Torrance, CA 90505.

Quick Facts

NPI
1114462199
Type
Individual
Enumerated
Dec 29, 2016
Last Updated
Dec 29, 2016

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