Individual
DR. JORDAN JOHN MICHELENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4477 WHITTIER BLVD, LOS ANGELES, CA 90022-1535
(323) 264-2890
Mailing address
4477 WHITTIER BLVD, LOS ANGELES, CA 90022-1535
(323) 264-2890
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A101937
CA
Other
Enumeration date
01/26/2007
Last updated
08/19/2015
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