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

Mr. Lee Alvin Jackson

Individual provider Community Health Worker · NPI 1821174392

Mr. Lee Alvin Jackson is a Community Health Worker in Hawthorne, California. Practices as a sole proprietor. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
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Practice location Address checks out

2311 W El Segundo Blvd
Hawthorne, CA 90250-3315
Phone: (310) 970-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1821174392
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 27, 2006
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025

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