Individual
JORDAN WLODARCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. M.S.
Contact information
Practice address
1200 N STATE ST, CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033-1029
(714) 357-9599
Mailing address
1200 N STATE ST, LOS ANGELES, CA 90089-1001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DR.0073114
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2017
Last updated
12/11/2025
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