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

Mr. Jeffrey Michael Jackson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871393223

Mr. Jeffrey Michael Jackson is a Student in an Organized Health Care Education/Training Program in Gardena, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

108 W Victoria St
Gardena, CA 90248-3523
Phone: (310) 715-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1871393223
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 14, 2025
Last updated in NPPESMarch 16, 2025
Certification dateMarch 16, 2025
Mailing address108 W Victoria St, Gardena, CA 90248-3523

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