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Organization
WILBERT C JORDAN MD INC
Active
Organization
WILBERT C JORDAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILBERT CORNELIOUS JORDAN MD (PRESIDENT)
(562) 630-1415
Entity
Organization
Contact information
Practice address
16660 PARAMOUNT BLVD STE 303, PARAMOUNT, CA 90723-5459
(562) 630-1415
(562) 630-1473
Mailing address
16660 PARAMOUNT BLVD STE 303, PARAMOUNT, CA 90723-5459
(562) 630-1415
(562) 630-1473
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
NULL
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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