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Organization
KATHLEEN JORDAN MD PC
Active
Organization
KATHLEEN JORDAN MD PC
Active
Parent organization
KATHLEEN JORDAN MD PC
Other names
Tia Silver Lake
Organization subpart
Yes
Provider details
NPI number
Legal business name
KATHLEEN JORDAN MD PC
Authorized official
CHANAH SHELDON (PAYER RELATIONS MANAGER)
(503) 887-5519
Entity
Organization
Contact information
Practice address
3921 W. SUNSET BOULEVARD, LOS ANGELES, CA 90029
(646) 650-5337
Mailing address
30 E 23RD ST STE 700, NEW YORK, NY 10010-4408
(332) 203-0933
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
—
Other
Enumeration date
02/11/2021
Last updated
03/24/2023
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