Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Richard Joseph Jackson, MD

Individual provider Pediatrics Physician · NPI 1720317175

Dr. Richard Joseph Jackson, MD is a Pediatrics Physician in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

650 Charles E Young Dr S Ehs Sph UCLA Box 56-070
Los Angeles, CA 90095-1772
Phone: (310) 206-8522
Fax: (310) 794-2106
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health & General Preventive Medicine Physician (primary) Taxonomy 2083P0901X · Licence G34076 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence G34076 (CA)

Record details

NPI number1720317175
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 14, 2009
Last updated in NPPESDecember 14, 2009

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