Elena B. Jackson, M.D.

Pediatrics Physician · Corona, CA

Individual Active NPI

NPI number 1285850974

Practice location

770 Magnolia Ave Suite 2a
Corona, CA 92879-3122
Phone
(951) 736-8144
Fax
(951) 736-0701

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NPI record

NPI
1285850974
Entity type
Individual (Type 1)
Enumeration date
April 18, 2007
Last updated
May 1, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X A97558 CA

Mailing address

770 Magnolia Ave Ste 2a
Corona, CA 92879-3122
Phone
(951) 736-8144
Fax
(951) 736-0701

About Dr. Jackson

Elena B. Jackson, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 770 Magnolia Ave Suite 2a, Corona, CA 92879-3122. The NPI number 1285850974 was assigned on April 18, 2007 and the record was last updated on May 1, 2012.

Dr. Jackson lists a license in the registry: #A97558 (CA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Elena B. Jackson, M.D.?

The NPI number is 1285850974.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (951) 736-8144.

Where is Dr. Jackson located?

770 Magnolia Ave Suite 2a, Corona, CA 92879-3122.

What is the taxonomy code for Dr. Jackson?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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