Individual
REBECCA S JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7600 HOSPITAL DR, SUITE G, SACRAMENTO, CA 95823-5406
(916) 525-2021
(916) 525-2065
Mailing address
7600 HOSPITAL DR, SUITE G, SACRAMENTO, CA 95823-5406
(916) 688-3181
(916) 688-3215
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A53618
CA
208D00000X
General Practice Physician
A53618
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4256368
ECFMG
—
Enumeration date
02/09/2006
Last updated
02/11/2020
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