Individual
DR. JORDAN DEVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17053 FOOTHILL BLVD, FONTANA, CA 92335-3574
(909) 347-1300
Mailing address
17053 FOOTHILL BLVD, FONTANA, CA 92335-3574
(909) 347-1300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A204631
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2022
Last updated
07/12/2026
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