Individual
ELENA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1975 ZONAL AVE, LOS ANGELES, CA 90089-5601
(323) 442-1100
Mailing address
1975 ZONAL AVE, LOS ANGELES, CA 90089-5601
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A165720
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/17/2018
Last updated
12/08/2022
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