Fong, Daniel Jordan

Fong, Daniel Jordan is an individual health care provider with primary practice located at 1530 Meridian Ave Ste 150 , San Jose CA 95125-5352. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Fong, Daniel Jordan can be contacted via phone (408) 979-2300.

Contact Information

Primary practice address
1530 Meridian Ave Ste 150 San Jose CA 95125-5352
Phone: (408) 979-2300
Fax: (408) 979-2306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 43033 California

Profile Details

NPI number 1083084594
LBN Legal business name Fong, Daniel Jordan
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2015
Last updated Jan 3rd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083084594 NPPES
California Other 43033 PHYSICAL THERAPY LICENSE

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