| Dennis Jordanides M D Inc | |
|
320 Superior Ave Ste 200 Newport Beach CA 92663-2741 | |
| (949) 764-7305 | |
| (949) 764-7306 |
| Full Name | Dennis Jordanides M D Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 320 Superior Ave Ste 200, Newport Beach, California |
| Authorized Official Name and Position | Dennis Jordanides (PRESIDENT) |
| Authorized Official Contact | 9497647305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis Jordanides M D Inc 500 Superior Ave Suite # 135 Newport Beach CA 92663-3657 Ph: (949) 764-7305 | Dennis Jordanides M D Inc 320 Superior Ave Ste 200 Newport Beach CA 92663-2741 Ph: (949) 764-7305 |
| NPI Number | 1326318155 |
|---|---|
| Provider Enumeration Date | 01/10/2012 |
| Last Update Date | 05/20/2024 |
| Medicare PECOS PAC ID | 8820226418 |
|---|---|
| Medicare Enrollment ID | O20140103001071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326318155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A66293 (California) | Primary |
| Provider Name | Dennis T Jordanides |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285638031 PECOS PAC ID: 6305804238 Enrollment ID: I20060203000555 |
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