Individual
CHRISTIAN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
42600 MIRAGE RD, RANCHO MIRAGE, CA 92270-4127
(760) 423-4000
Mailing address
42600 MIRAGE RD, RANCHO MIRAGE, CA 92270-4127
(760) 423-4000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A171637
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A171637
CA
207ND0900X
Dermatopathology Physician
A171637
CA
Other
Enumeration date
03/30/2016
Last updated
10/15/2024
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