Individual
JORDAN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, #8770, SAN DIEGO, CA 92103-9000
(619) 543-5297
Mailing address
1205 PACIFIC HWY, UNIT 1304, SAN DIEGO, CA 92101-3327
(315) 317-6720
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
145506
MT
Other
Enumeration date
04/07/2014
Last updated
07/15/2025
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