Wilbert Cornelious Jordan M.D.

NPI 1053474783 - Internal Medicine - 207RI0200X

NPI Details
NPI 1053474783
Gender Male
Enumeration Date 12/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
16660 PARAMOUNT BLVD
SUITE 303
PARAMOUNT CA, 90723-5433, US
Phone (562) 630-1415
Fax (562) 630-1473
Business Location
16660 PARAMOUNT BLVD
SUITE 303
PARAMOUNT CA, 90723-5433, US
Phone (562) 630-1415
Fax (562) 630-1473
Toxanomy
Taxonomy Code 207RI0200X
License State California
License Number A30817
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According to our database, Dr. Wilbert Cornelious Jordan M.D. NPI is 1053474783, taxonomy code is 207RI0200X and license number is A30817, license state is located at California. Wilbert Cornelious Jordan M.D. physically located at 16660 Paramount Blvd, Paramount CA, 90723-5433. NPI Number Wilbert Cornelious Jordan M.D. has the Individual type.

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1053474783 NPI number is provided on an as is basis without warranty of any kind. 1053474783 is maintained by the National Plan & Provider Enumeration System. The contents of Wilbert Cornelious Jordan M.D. are for informational purposes only.