Mr. Ladale Jackson Sr.
Mr. Ladale Jackson Sr. is a Homeopath in Culver City, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
5601 W Slauson Ave Ste 130Culver City, CA 90230-6576
Phone: (310) 910-0406
Fax: (310) 928-0981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Homeopath (primary) | Taxonomy 175L00000X |
|---|
Record details
| NPI number | 1265143507 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 7, 2022 |
| Last updated in NPPES | December 7, 2022 |
| Certification date | December 7, 2022 |
| Mailing address | 5601 W Slauson Ave Ste 130, Culver City, CA 90230-6576 |