Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jason Robert Jackson-Landau

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114717063

Mr. Jason Robert Jackson-Landau is a Student in an Organized Health Care Education/Training Program in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Los Angeles, CA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1114717063
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 12, 2025
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025

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