Jordan The

NPI 1720864507 · on the registry since 2023

Practice

Address: 5901 W Century Blvd Ste 750
Los Angeles, CA 90045
Phone: (888) 880-3451
Organisation at this address: I Am 1112
Wound Pros Iowa
Wound Pros Idaho
Wound Pros Maine
Wound Pros Alaska
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 21

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-09-06

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