Individual
CLIFFORD RAY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1212 SANTIAGO DR., NEWPORT BEACH, CA 92660
(949) 631-2310
(949) 642-6942
Mailing address
1212 SANTIAGO DR., NEWPORT BEACH, CA 92660
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
AFE28904
CA
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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