Mr. Robert Romulus Jackson I
Mr. Robert Romulus Jackson I is a Case Manager/Care Coordinator in Sylmar, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
11600 Eldridge AveSylmar, CA 91342-6506
Phone: (661) 208-9964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X (CA) |
Record details
| NPI number | 1164058657 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 17, 2020 |
| Last updated in NPPES | June 10, 2025 |
| Certification date | June 10, 2025 |
| Mailing address | 11600 Eldridge Ave, Sylmar, CA 91342-6506 |
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