Individual
JORDAN MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
9055 BALBOA AVE, SAN DIEGO, CA 92123-1509
(619) 849-7950
Mailing address
9055 BALBOA AVE, SAN DIEGO, CA 92123-1509
(303) 594-5413
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
65831
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/09/2023
Last updated
03/15/2025
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