Organization
JOHN JORDAN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E JORDAN M.D. (OWNER)
(310) 344-4195
Entity
Organization
Contact information
Practice address
2801 ATLANTIC AVENUE, LONG BEACH, CA 90806-1701
(562) 933-1550
Mailing address
21535 HAWTHORNE BLVD, SUITE 300, TORRANCE, CA 90503
(310) 344-4195
(310) 303-5737
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G60013
MEDICAL LICENSE
CA
Enumeration date
09/15/2006
Last updated
08/22/2020
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