Individual
MR. JORDAN R CONGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1450 SAN PABLO ST FL 4, LOS ANGELES, CA 90033-5331
(323) 442-6335
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(626) 457-6601
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A159379
CA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
A159379
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2017
Last updated
06/29/2022
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