Search › California › 235Z00000X

Jordan Mondak

NPI 1225592413 · on the registry since 2019

Practice

Address
982 Cottonwood Dr
Calimesa, CA 92320
Phone
(269) 252-3173

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-01-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California