Individual
DR. JASON CORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
47111 MONROE ST, INDIO, CA 92201-6739
(760) 775-8066
(760) 406-5791
Mailing address
PO BOX 80099, CITY OF INDUSTRY, CA 91716-8099
(949) 263-8620
(949) 263-1639
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A82144
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A821440
BS
CA
05
—
00A821440
—
CA
Enumeration date
06/09/2006
Last updated
11/29/2021
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