Individual
MR. JON ERNIE ORDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
10770 PALMS BLVD, APT 109, LOS ANGELES, CA 90034-5573
(619) 245-3346
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
1795
CA
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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