person
Jordan Ambrose Jeremiah
Student in an Organized Health Care Education/Training Program in Los Angeles, California
NPI 1104502467

Jordan Ambrose Jeremiah is a Student in an Organized Health Care Education/Training Program based in Baldwin Park, CA. Jordan Ambrose Jeremiah practices in Los Angeles, CA. The NPI Number for Jordan Ambrose Jeremiah is 1104502467 and holds a License No. (California).

The current practice location address for Jordan Ambrose Jeremiah is 4063 Whittier Blvd Ste 202, Los Angeles, CA and can be reached out via phone at 323-268-2100.

Location: 4063 Whittier Blvd Ste 202, Los Angeles, CA, 91706-2553
person
Provider Profile Details
NPI Number
1104502467
Provider Name
Jordan Ambrose Jeremiah
Credential
Provider Entity Type
Individual
Gender
Male
Address
4063 Whittier Blvd Ste 202, Los Angeles, CA, 91706-2553
Phone Number
323-268-2100
Fax Number
Provider Enumeration Date
06/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4063 Whittier Blvd Ste 202
City
State
Zip
90023-2536
Phone Number
323-268-2100
Fax Number
person
Provider Business Mailing Address Details
Address
4063 Whittier Blvd Ste 202
City
State
Zip
90023-2536
Phone Number
323-268-2100
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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