DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: RIO JACKSON

MEDICARE: RIO JACKSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor127415CA
2101YM0800XMental Health Counselor95414CA
3101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1588277651
Entity Type Code : Individual
Provider Name (Legal Business Name) : RIO JACKSON
Provider Business Mailing Address
First Line : 351 E TEMPLE ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90012-3328
Country : US
Telephone Number : 213-253-2677
Fax Number :
Provider Business Practice Location Address
First Line : 351 E TEMPLE ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90012-3328
Country : US
Telephone Number : 213-253-2677
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2020
Last Update Date : 05/14/2026

Similar Medicare Providers

1396793428 — WEST LOS ANGELES VAMC
Practice Location Address:
351 E TEMPLE ST
LOS ANGELES, CA
90012-3328
Practice Phone: 310-268-3152
Practice Fax: 310-268-4959
1235187683 — WEST LOS ANGELES VAMC
Practice Location Address:
351 E TEMPLE ST
LOS ANGELES, CA
90012-3328
Practice Phone: 310-268-3152
Practice Fax:
1679524730 — KIMBERLY ANN GUSTOVICH M.A., CCC-A
Practice Location Address:
351 E TEMPLE ST
LOS ANGELES, CA
90012-3328
Practice Phone: 213-253-2677
Practice Fax:
1053368548 — MR. JOEL STOUP LCSW
Practice Location Address:
351 E TEMPLE ST
LOS ANGELES, CA
90012-3328
Practice Phone: 213-253-2677
Practice Fax: 213-253-5046
1598704264 — DR. GARY ROBERT WOLFE PH.D.
Practice Location Address:
351 E TEMPLE ST , DVA LOS ANGELES OUTPATIENT CLINIC
LOS ANGELES, CA
90012-3328
Practice Phone: 213-253-5186
Practice Fax: 213-253-5041
1861432437 — WEST LOS ANGELES VAMC
Practice Location Address:
351 E TEMPLE ST
LOS ANGELES, CA
90012-3328
Practice Phone: 702-341-3152
Practice Fax:

Directions to “ RIO JACKSON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.