| Jordan Wellness Center | |
|
10110 Juniper St Los Angeles CA 90002-3166 | |
| (323) 789-5610 | |
| (323) 789-5616 |
| Full Name | Jordan Wellness Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 10110 Juniper St, Los Angeles, California |
| Authorized Official Name and Position | Alfredo Reynoso (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 3233135588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Wellness Center 711 W Florence Ave Los Angeles CA 90044-6105 Ph: (323) 789-5610 | Jordan Wellness Center 10110 Juniper St Los Angeles CA 90002-3166 Ph: (323) 789-5610 |
| NPI Number | 1114602406 |
|---|---|
| Provider Enumeration Date | 06/15/2023 |
| Last Update Date | 05/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114602406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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