Individual
JORDAN SUKYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 CONGRESS ST STE 103, PASADENA, CA 91105-3027
(626) 796-6164
(626) 796-0883
Mailing address
10 CONGRESS ST STE 103, PASADENA, CA 91105-3027
(626) 796-6164
(626) 796-0883
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
175461
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RHC208328
RADIOGRAPHY X RAY SUPERVISOR AND OPERATOR
CA
Enumeration date
06/08/2017
Last updated
11/14/2024
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