Individual
JORDAN DAVID WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9175 JUDICIAL DR APT 6503, SAN DIEGO, CA 92122-4681
(916) 337-3469
Mailing address
9175 JUDICIAL DR APT 6503, SAN DIEGO, CA 92122-4681
(916) 337-3469
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT300072
CA
Other
Enumeration date
06/20/2019
Last updated
05/27/2025
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