Evan Guy Boulware Jackson, MD
Evan Guy Boulware Jackson, MD is a Hospitalist in Los Angeles, California. Graduated from Meharry Medical College School of Medicine in 2021, 5 years ago. Practices with The Regents of the University of California, a 1,414-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 5
- Trained at
- Meharry Medical College School of Medicine
- Licensed in
- CA
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
757 Westwood Plz Ste 7501Los Angeles, CA 90095-1029
Phone: (310) 267-9643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1200 N State Street Clinic Tower, Los Angeles, CA 90033-1029 — (323) 409-7556
Specialties & licences
| Hospitalist Physician (primary) | Taxonomy 208M00000X · Licence A196549 (CA) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence A196549 (CA) |
Record details
| NPI number | 1194306118 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 20, 2021 |
| Last updated in NPPES | September 3, 2024 |
| Certification date | September 3, 2024 |
Medicare enrollment
| Medicare specialty | HOSPITALIST |
|---|---|
| Also practises | INTERNAL MEDICINE |
| Medical school | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduated | 2021 (5 years in practice) |
| Group practice | The Regents Of The University Of California — 1414 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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Daniel Kahn, MD
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