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ANGELO JACKSON
NPI 1467785345
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since September 10, 2009
11905 S CENTRAL AVE, SUITE 205, LOS ANGELES, CA 90059(323) 249-9026 Get Directions Write a Review

NPPES record last updated: September 10, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Angelo Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELO JACKSON (NPI 1467785345) is an individual addiction (substance use disorder) provider in Los Angeles, California and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1467785345
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameANGELO JACKSON
Location Address11905 S CENTRAL AVE, SUITE 205Los Angeles, CA 90059-2836
Mailing Address11905 S Central Ave, Suite 205Los Angeles, CA 90059-2836 · (323) 249-9026
Phone(323) 249-9026
Sole ProprietorNo
Enumeration DateSeptember 10, 2009
✔ NPI 1467785345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
11905 S CENTRAL AVE, Los Angeles, CA 90059
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TONI WRIGHT RADT1
Rehabilitation Practitioner
11905 S CENTRAL AVE
LOS ANGELES, CA 90059
Los Angeles County (323) 312-0145
MARY LOU LUNA
Counselor (Addiction (Substance Use Disorder))
11905 S CENTRAL AVE, SUITE 205
LOS ANGELES, CA 90059
Los Angeles County (323) 249-9026
EDGAR AMEZQUITA
Counselor (Addiction (Substance Use Disorder))
11905 S CENTRAL AVE, SUITE NUMBER 204-205
LOS ANGELES, CA 90059
Los Angeles County (323) 249-9026
DR. CHERYL DIANE BINGHAM DDS
Dentist (General Practice)
11905 S CENTRAL AVE, #203
LOS ANGELES, CA 90059
Los Angeles County (323) 564-7504
EDDIE D COLBERT
Counselor (Addiction (Substance Use Disorder))
11905 S CENTRAL AVE, SUITE 205
LOS ANGELES, CA 90059
Los Angeles County (323) 249-9026
SUNKWA AFRICAN ART AND CRAFT
Clinic/Center (Community Health)
11905 S CENTRAL AVE, STE. 100
LOS ANGELES, CA 90059
Los Angeles County (323) 476-1316
MARIA RAZO
Counselor (Addiction (Substance Use Disorder))
11905 S CENTRAL AVE, SUITE 200/206
LOS ANGELES, CA 90059
Los Angeles County (323) 249-9026
BERNADINE GOUDEAU COUNSELOR
Counselor
11905 S CENTRAL AVE, SUITE 205
LOS ANGELES, CA 90059
Los Angeles County (323) 249-9026

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelo Jackson's NPI number?

The NPI number for Angelo Jackson is 1467785345. It was assigned to this individual provider in the NPPES registry on September 10, 2009.

Where is Angelo Jackson located?

Angelo Jackson practices at 11905 S Central Ave Suite 205, Los Angeles, CA 90059. The listed phone number is (323) 249-9026.

What is Angelo Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Angelo Jackson was last updated on September 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.