Gendelman, Jordan

Gendelman, Jordan is an sole proprietor health care provider with primary practice located at 1701 Mission Ave Ste A , Oceanside CA 92058-7102. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Gendelman, Jordan can be contacted via phone (760) 967-4475.

Contact Information

Primary practice address
1701 Mission Ave Ste A Oceanside CA 92058-7102
Phone: (760) 967-4475
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1104164375
LBN Legal business name Gendelman, Jordan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2013
Last updated Aug 13th, 2014 - about 12 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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