| NPI | 1376681486 |
|---|---|
| Doing Business As | JORDAN WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM D. HOBSON President & CEO 323-568-4417 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 96000449) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2013-09-12 |