MRS. MARILYN JACKSON (NPI# 1386143840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386143840 |
| Entity Type | Individual |
| Full Name | MRS. MARILYN JACKSON |
| Credential | LAC |
| Practice Address |
2990 S Sepulveda Blvd Ste 205 Los Angeles CA 90064-3973 |
| Practice Telephone | 8184348709 |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 17746 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174946115 | Marilyn Jackson | Pharmacist | 1055 Heathrow Dr, Frisco, TX 75034-7807 | 2014-01-28 |
| 1407157407 | Marilyn Sledge Jackson | Social Worker | 2325 Briar Gate Dr, Montgomery, AL 36116-2154 | 2010-11-06 |
| 1669693453 | Marilyn Renee Jackson | Counselor | 1409 Mossy Rdg, Desoto, TX 75115-9700 | 2007-05-01 |
| 1811097744 | Marilyn M. Jackson | Internal Medicine | 421 W 57th St, Suite B, New York, NY 10019-1763 | 2006-09-22 |
| 1144840992 | Marilyn Jackson | Nurse Anesthetist, Certified Registered | 6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 | 2020-04-22 |
| 1356906887 | Marilyn K Jackson | Registered Nurse | 335 S Papa Ave, Kahului, HI 96732-1528 | 2019-05-09 |
| 1699847913 | Marilyn Orio Jackson | Nurse Practitioner | 41715 Winchester Rd, Suite 204, Temecula, CA 92590-4808 | 2006-11-14 |
| 1972502318 | Marilyn Jackson | Anesthesiology | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2005-07-19 |
| Street Address |
2990 S SEPULVEDA BLVD STE 205 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90064-3973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174988760 | Mother Nurture Wellness and Acupuncture | Acupuncturist | 2990 S Sepulveda Blvd Ste 205, Los Angeles, CA 90064-3973 | 2015-12-23 |
| 1174170450 | Beyond Physical Therapy Inc. | Physical Therapist | 2990 S Sepulveda Blvd Ste 205, Los Angeles, CA 90064-3973 | 2019-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727597 | Barbara K. Polland | Marriage & Family Therapist | 10533 Rountree Rd., Los Angeles, CA 90064 | 2020-10-16 |
| 1912542994 | Reproductive Medicine Associates of Socal Ambulatory Surgery Center | Clinic/Center | 11500 W Olympic Blvd, Ste# 150, Los Angeles, CA 90064 | 2019-11-13 |
| 1376022012 | Payersdirect, Inc. | Radiology | 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 | 2018-08-13 |
| 1013404136 | Jeannie Wakamatsu | Dietitian, Registered | 10312 Almayo Ave., Suite 6, Los Angeles, CA 90064 | 2018-04-13 |
| 1487153474 | Victor Louie | Behavior Technician | 11835 W Olympic Blvd Suite 140e, Los Angeles, CA 90064 | 2018-02-06 |
| 1538683842 | Ana Grinfeld | Behavioral Analyst | 11835 W Olympic Blvd Ste 140e, Los Angeles, CA 90064 | 2017-07-28 |
| 1407386089 | Ovsanna Stepanyan | Rehabilitation Practitioner | 11080 W Olimpic Blvd, La, CA 90064 | 2017-06-15 |
| 1952768012 | Grace Gayles | Behavioral Analyst | 11835 W. Olympic Blvd., Suite 140e, Los Angeles, CA 90064 | 2016-01-20 |
| 1669841003 | Jessica Hildebrandt | Occupational Therapy Assistant | 2446 S Westgate Ave, Los Angeles, CA 90064 | 2015-09-16 |
| 1033592571 | Joshua Busse | Family Medicine | 11845 Olympic Boulevard, Los Angeles, CA 90064 | 2015-07-01 |
| Find all providers in zip 90064 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356083 | Pyung Doo Nam | Acupuncturist | 7097 Alvern St Apt D212, Los Angeles, CA 90045-1867 | 2020-11-02 |
| 1285241596 | Marion Jane Dunham | Acupuncturist | 1048 Everett Pl Apt 3, Los Angeles, CA 90026-4446 | 2020-09-30 |
| 1346859113 | Jan Hunt | Acupuncturist | 3022 Danalda Dr, Los Angeles, CA 90064-4626 | 2020-07-28 |
| 1235747833 | Taeyoung Lee | Acupuncturist | 639 S Commonwealth Ave Apt 306, Los Angeles, CA 90005-4009 | 2020-07-20 |
| 1659998789 | Sukyeong Ryu | Acupuncturist | 945 S Western Ave Ste 204, Los Angeles, CA 90006-1008 | 2020-07-06 |
| 1871118661 | Gilli Wellness, Inc. | Acupuncturist | 1743 S La Cienega Blvd Ste X, Los Angeles, CA 90035-4671 | 2020-06-08 |
| 1508494840 | Sondrina Bullitt | Acupuncturist | 4121 Halldale Ave Apt 202, Los Angeles, CA 90062-1874 | 2020-03-31 |
| 1386272888 | Danielia D Falcon | Acupuncturist | 548 S Spring St Apt 105, Los Angeles, CA 90013-2345 | 2020-03-30 |
| 1780211276 | Hee Se Lee | Acupuncturist | 2415 Ocean View Ave, Los Angeles, CA 90057-1817 | 2020-03-24 |
| 1992331219 | Hyewon Han | Acupuncturist | 338 S Oxford Ave Apt 7, Los Angeles, CA 90020-3882 | 2020-03-18 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90064 |
Please comment or provide details below to improve the information on MRS. MARILYN JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.