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 |