Dr. Peter J Jackson
M.D. | Pediatric Adolescent Medicine | Male
Dr. Peter J Jackson, M.D. is a Pasadena, California based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Peter J Jackson is
504 S Sierra Madre Blvd, Pasadena, California - 91107-5240. He can be contacted on phone at
626-795-8811 and fax number 626-795-0935.
Dr. Peter J Jackson is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Peter J Jackson is
1366536328 which was assigned by NPPES on 03 Oct, 2006 and it was last updated on 08 Jul, 2007.
Dr. Peter J Jackson license number is
G46502 for Pediatrics Adolescent Medicine (2080A0000X) in California.
Dr. Peter J Jackson specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Peter J Jackson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Peter J Jackson |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Peter J Jackson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 504 S Sierra Madre Blvd
Pasadena, CA, 91107-5240
United States |
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| Phone Number : | 626-795-8811 |
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| Fax Number : | 626-795-0935 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1366536328 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Oct, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Peter J Jackson are as mentioned. Primary taxonomy code for Dr. Peter J Jackson, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | G46502 | CA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 504 S Sierra Madre Blvd
Pasadena, CA, 91107-5240
United States |
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| Phone Number : | 626-795-8811 |
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| Fax Number : | 626-795-0935 |
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Business Location:
Patients can refer following map for directions to
Dr. Peter J Jackson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.