Search › California › 363A00000X
Jeremy Jordan, PA
NPI 1487378949 · on the registry since 2022
Practice
- Address
- 11711 Collett Ave Apt 531
Riverside, CA 92505 - Phone
- (707) 540-3712
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-28
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