Roberto Fernando Jordan MD

NPI 1043535560 - Family Medicine - 207Q00000X

NPI Details
NPI 1043535560
Gender Male
Enumeration Date 03/29/2010
Last Updated 12/27/2012
Entity Type Individual
Active Over 6 years ago
Practice Location
1400 S GRAND AVE STE 101
LOS ANGELES CA, 90015-3048, US
Phone (213) 744-0801
Fax
Business Location
1400 S GRAND AVE STE 101
LOS ANGELES CA, 90015-3048, US
Phone (213) 744-0801
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number A108577
Remove 1043535560 NPI Number
 

According to our database, Dr. Roberto Fernando Jordan MD NPI is 1043535560, taxonomy code is 207Q00000X and license number is A108577, license state is located at California. Roberto Fernando Jordan MD physically located at 1400 S Grand Ave Ste 101, Los Angeles CA, 90015-3048. NPI Number Roberto Fernando Jordan MD has the Individual type.

Sponsored links

1043535560 NPI number is provided on an as is basis without warranty of any kind. 1043535560 is maintained by the National Plan & Provider Enumeration System. The contents of Roberto Fernando Jordan MD are for informational purposes only.