La Porsche Michelle Jackson, MED/CI
La Porsche Michelle Jackson, MED/CI is a Rehabilitation Practitioner in Riverside, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2025
Practice location Address checks out
10672 Pendleton StRiverside, CA 92505-1740
Phone: (310) 912-5168
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2201 E 4th St, Santa Ana, CA 92705-3804 — (310) 912-5168
Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X (CA) |
|---|
Record details
| NPI number | 1760274831 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MED/CI |
| Sole proprietor | Yes |
| NPI enumerated | May 22, 2025 |
| Last updated in NPPES | June 10, 2026 |
| Certification date | June 10, 2026 |
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