SearchCalifornia101YA0400X

Jordan Paul, RADT

NPI 1710540034 · on the registry since 2019

Practice

Address
623 N Main St
Corona, CA 92880
Phone
(909) 488-9477
Organisation at this address
Wp Pharmacy Llc
Mental Health Substance Abuse
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-04-22

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