| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | William W. Jackson | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | William | [sources] | |||
| Last name | Jackson | [sources] | |||
| Middle name | W. | [sources] | |||
| NPI | 1811966468 | [sources] | |||
| Registration number | 00G789190 · 00G789191 · 00G789192 · G78919 | [sources] | |||
| Sector | Physician | [sources] | |||
| Address | 3050 East Imperial, Highway, #143, Brea, CA 92821 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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