Organization
JAY L JORDAN M D A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY L JORDAN M.D. (PRESIDENT)
(310) 854-5493
Entity
Organization
Contact information
Practice address
8631 W 3RD ST, SUITE 445E, LOS ANGELES, CA 90048-5901
(310) 854-5493
(310) 289-7941
Mailing address
8631 W 3RD ST, SUITE 445E, LOS ANGELES, CA 90048-5901
(310) 854-5493
(310) 289-7941
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
05/01/2009
Last updated
05/01/2009
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