Richard Jordan in South Gate - Internal Medicine

Richard Jordan - NPI 1639212558

Richard Jordan is a Internal Medicine in South Gate, California. Richard Jordan practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Richard Jordan is 1639212558. The last update date is 2016-09-21.

Richard Jordan's current location address is 4476 Tweedy Blvd, South Gate, California. You can contact this provider via phone number 3235639499 and fax number 3235630956. The mailing address for Richard Jordan is 4476 Tweedy Blvd, South Gate, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Jordan
Address 4476 Tweedy Blvd, South Gate, California
Phone Number 3235639499
Fax Number 3235630956
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1639212558
Provider Enumeration Date 2007-02-14
Last Updated Date 2016-09-21

Provider Mailing Address Detail

Address 4476 Tweedy Blvd
City South Gate
State California (CA)
Post Code 902806359
Phone Number 3235639499
Fax Number 3235630956

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No A94116
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A94160 CA --

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FAQs about Richard Jordan

What is the unique 10-digit identification code issued to Richard Jordan by the Centers for Medicare & Medicaid Services?

The Richard Jordan has been assigned the NPI (National Provider Identifier) 1639212558 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Richard Jordan?

The Richard Jordan is physically situated at 4476 Tweedy Blvd, in the city of South Gate, state of CA, with the postal code 902806359.

What is Richard Jordan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Richard Jordan is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1639212558 to Richard Jordan?

The Richard Jordan received its 1639212558 assignment from the Centers for Medicare & Medicaid Services on 2007-02-14.

When was the information pertaining to Richard Jordan most recently updated or revised?

The details related to Richard Jordan, including its address, specialty, and other relevant information, were last updated or revised on 2016-09-21.

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