IndividualActive
Ryan Jackson, M.D., PH.D., M.ENG.
NPI 1699153130 · Hematology (Pathology) Physician · Duarte, CA
Provider details
- NPI number
- 1699153130
- Entity type
- Individual
- Primary specialty
- Hematology (Pathology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., PH.D., M.ENG.
- Sex
- Male
- Sole proprietor
- No
- License
- A150177 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
1500 Duarte Rd
Duarte, CA 91010-3012
Phone: (626) 256-4673
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 512185
Los Angeles, CA 90051-0185
Registry dates
- Enumerated
- 2015-05-18
- Last updated
- 2021-05-07
- Certified
- 2021-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.