Richard Anthony Jack
M.D. | Pediatric Neonatal-Perinatal Medicine | Male
Richard Anthony Jack, M.D. is a Torrance, California based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Richard Anthony Jack is
4140 W 190th St, Torrance, California - 90504-5513. He can be contacted on phone at
.
Richard Anthony Jack is a sole proprietor of his business.
NPI number (Unique professional ID) for Richard Anthony Jack is
1306289129 which was assigned by NPPES on 10 Apr, 2013 and it was last updated on 28 Dec, 2022.
Richard Anthony Jack license number is
C175889 for Pediatrics, Neonatal-Perinatal Medicine (2080N0001X) in California.
Richard Anthony Jack is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Richard Anthony Jack basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Neonatal-Perinatal Medicine |
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| Provider Name : | Richard Anthony Jack |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Richard Anthony Jack 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 : | 4140 W 190th St
Torrance, CA, 90504-5513
United States |
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| Phone Number : | |
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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 : | 1306289129 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Apr, 2013 |
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| Last Updated On : | 28 Dec, 2022 |
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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 Richard Anthony Jack are as mentioned. Primary taxonomy code for Richard Anthony Jack, M.D. is
2080N0001X (Pediatrics, Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | - |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | Yes | C175889 | CA |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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500 UNIVERSITY DR, H085
HERSHEY, PA, 17033-2360
United States | HERSHEY, PA | 917-405-2405 |
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 : | 18321 Clark St
Tarzana, CA, 91356-3501
United States |
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| Phone Number : | 818-708-5570 |
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| Fax Number : | 818-708-5471 |
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Business Location:
Patients can refer following map for directions to
Richard Anthony Jack practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.