Jordan, Richard
Jordan, Richard is an individual health care provider with primary practice located at 4476 Tweedy Blvd , South Gate CA 90280-6359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jordan, Richard can be contacted via phone (323) 563-9499.Contact Information
Primary practice address
4476 Tweedy Blvd
South Gate CA 90280-6359
Phone: (323) 563-9499
Fax: (323) 563-0956
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A94116 | California |
Profile Details
| NPI number | 1639212558 |
|---|---|
| LBN Legal business name | Jordan, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Sep 21st, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639212558 | NPPES |
| California | MEDICAID | 00A94160 |
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