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Individual

JORDAN MOSSLER ANAOKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-2434
(310) 301-6800
(310) 794-9035
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A111066
CA
2085R0202X
Diagnostic Radiology Physician
MD456471
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0A1110660
CA
Enumeration date
09/17/2008
Last updated
12/09/2022
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