Individual
JORDAN STORKERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 N PEPPER AVE STE 107, COLTON, CA 92324-1819
(909) 580-1862
Mailing address
400 N PEPPER AVE STE 107, COLTON, CA 92324-1801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A184035
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2019
Last updated
07/17/2024
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