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Individual

DR. STANLEY JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8900 BEVERLY BLVD FL 3, WEST HOLLYWOOD, CA 90048-2438
(310) 423-2641
(310) 423-0236
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A26161
CA
207RN0300X
Nephrology Physician
Primary
A26161
CA

Other

Enumeration date
03/27/2006
Last updated
01/08/2025
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