Search › California › 363A00000X
Jordan Black, PA
NPI 1881421493 · on the registry since 2024
Practice
- Address
- 505 Parnassus Ave # M917
San Francisco, CA 94143 - Phone
- (415) 353-1116
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-20
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