Jordan Fabrikant D.O.

NPI 1649585753 - General Practice - 208D00000X

NPI Details
NPI 1649585753
Gender Male
Enumeration Date 08/12/2010
Last Updated 10/27/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
4060 FOURTH AVE STE 415
WEST DERMATOLOGY & SURGERY MEDICAL GROUP
SAN DIEGO CA, 92103-2121, US
Phone (619) 298-9809
Fax (619) 298-9823
Business Location
2285 CORPORATE CIR 200
HENDERSON NV, 89074-7759, US
Phone (702) 360-2100
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Florida
License Number UO2515
Remove 1649585753 NPI Number
 

According to our database, Dr. Jordan Fabrikant D.O. NPI is 1649585753, taxonomy code is 208D00000X and license number is UO2515, license state is located at Florida. Jordan Fabrikant D.O. physically located at 4060 Fourth Ave Ste 415, San Diego CA, 92103-2121. NPI Number Jordan Fabrikant D.O. has the Individual type.

Sponsored links

1649585753 NPI number is provided on an as is basis without warranty of any kind. 1649585753 is maintained by the National Plan & Provider Enumeration System. The contents of Jordan Fabrikant D.O. are for informational purposes only.