person
Dr. Jordan John Michelena, MD
General Practice Physician in Los Angeles, California
NPI 1396891057

Jordan John Michelena is a General Practice Physician based in Los Angeles, CA. Jordan John Michelena practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Jordan John Michelena is 1396891057 and holds a License No. A101937 (California).

The current practice location address for Jordan John Michelena is 4477 Whittier Blvd, Los Angeles, CA and can be reached out via phone at 323-264-2890.

Location: 4477 Whittier Blvd, Los Angeles, CA, 90022-1535
person
Provider Profile Details
NPI Number
1396891057
Provider Name
Jordan John Michelena
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4477 Whittier Blvd, Los Angeles, CA, 90022-1535
Phone Number
323-264-2890
Fax Number
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4477 Whittier Blvd
City
State
Zip
90022-1535
Phone Number
323-264-2890
Fax Number
person
Provider Business Mailing Address Details
Address
4477 Whittier Blvd
City
State
Zip
90022-1535
Phone Number
323-264-2890
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A101937 (California)
Definition
Definition to come...
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