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Individual

DR. SHELDON E JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2811 WILSHIRE BLVD, STE 790, SANTA MONICA, CA 90403-4805
(310) 829-5968
(310) 453-3685
Mailing address
2811 WILSHIRE BLVD, STE 790, SANTA MONICA, CA 90403-4805
(310) 829-5968
(310) 453-3685

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
G38150
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RHC 148163
FLUOROSCOPY OPERATOR PERM
CA
Enumeration date
06/08/2005
Last updated
01/06/2010
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