Individual
MYKALA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6655 ALVARADO RD, SAN DIEGO, CA 92120-5208
(800) 926-5273
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.008678
IL
363AS0400X
Surgical Physician Assistant
Primary
PA63739
CA
Other
Enumeration date
07/25/2021
Last updated
11/21/2025
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