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

Robert Lloyd Jackson

Individual provider Rehabilitation Practitioner · NPI 1154093318

Robert Lloyd Jackson is a Rehabilitation Practitioner in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

3850 Crenshaw Blvd
Los Angeles, CA 90008-1821
Phone: (323) 751-3026
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1154093318
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 5, 2021
Last updated in NPPESMay 9, 2025
Certification dateMay 9, 2025

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