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Organization
JOSHUA JORDAN MEDICAL CORPORATION
Active
Organization
JOSHUA JORDAN MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROYA MASOUD DO (PRESIDENT)
(714) 262-5136
Entity
Organization
Contact information
Practice address
3275 TWEEDY BLVD, SOUTH GATE, CA 90280-4348
(714) 262-5136
(310) 499-5261
Mailing address
PO BOX 27851, ANAHEIM, CA 92809-0128
(714) 262-5136
(310) 499-5261
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A10231
CA
Other
Enumeration date
03/15/2011
Last updated
06/27/2011
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