Individual
TIMOTHY MANNING JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-3200
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-3200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A157600
CA
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
0101285494
VA
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
A157600
CA
Other
Enumeration date
03/23/2017
Last updated
07/08/2025
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