Individual
JORDAN AARON FIRESTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD, MPH
Contact information
Practice address
237 ESCUELA AVE UNIT B, MOUNTAIN VIEW, CA 94040-1812
(650) 554-0844
Mailing address
237 ESCUELA AVE UNIT B, MOUNTAIN VIEW, CA 94040-1812
(650) 554-0844
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
C54699
CA
2083X0100X
Occupational Medicine Physician
Primary
MD00035480
WA
2084N0400X
Neurology Physician
C54699
CA
2084N0400X
Neurology Physician
MD00035480
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130025374
RAILROAD MEDICARE
WA
05
—
8257313
—
WA
Enumeration date
10/16/2006
Last updated
11/16/2023
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