| Sarah Marie Jackson, RD | |
|
3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 | |
| (310) 632-0415 | |
| Not Available |
| Full Name | Sarah Marie Jackson |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 3820 Martin Luther King Jr Blvd, Lynwood, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821506320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 086078203 (California) | Primary |
| Provider Name | Soulphysio Lifestyle |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710653589 PECOS PAC ID: 2668879958 Enrollment ID: O20210929002713 |
| Provider Name | R2o Nutrition Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760140248 PECOS PAC ID: 8820480155 Enrollment ID: O20220119001576 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Marie Jackson, RD 11340 National Blvd Apt 8, Los Angeles, CA 90064-3773 Ph: (818) 462-1932 | Sarah Marie Jackson, RD 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 Ph: (310) 632-0415 |
Ebony Marie Sanders, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3630 E Imperial Hwy, Lynwood, CA 90262 Phone: 310-900-7831 | |
Stephanie Register, RD, MS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262 Phone: 310-632-0415 | |
Carrie Pickinpaugh, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262 Phone: 310-632-0415 | |
Mrs. Lacey Lyons, RD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3630 E Imperial Hwy, Lynwood, CA 90262 Phone: 310-900-5727 | |
Caralynn Fish, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3630 E Imperial Hwy, Lynwood, CA 90262 Phone: 310-900-8900 | |
Elise Boretz, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262 Phone: 310-632-0415 | |
Mr. Jesus Rocha Jr., RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262 Phone: 323-277-7678 |