ROBERTO FERNANDO JORDAN

LOS ANGELES, CA
NPI1043535560
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A108577)
Enumeration Date2010-03-29
Last Update Date2019-10-02
Business Address
Dr. ROBERTO FERNANDO JORDAN MD
1400 S GRAND AVE STE 101
LOS ANGELES, CA 90015-3048
Phone number: 213-744-0801
Mailing Address
Dr. ROBERTO FERNANDO JORDAN MD
PO BOX 26666 PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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