| NPI | 1114602406 |
|---|---|
| Doing Business As | JORDAN WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | ALFREDO REYNOSO Chief Operating Officer 323-313-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2024-05-23 |