Individual
JORDAN SOPHIE FRAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 AVENUE OF THE STARS FL 8, CENTURY CITY, CA 90067-5010
(310) 853-3311
Mailing address
2121 AVENUE OF THE STARS FL 8, CENTURY CITY, CA 90067-5010
(310) 853-3311
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
CA
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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