Richard C.k. Jordan
Oral and Maxillofacial Pathology
513 Parnassus Ave
San Francisco
, California 94143-2205
Richard C.k. Jordan
Oral and Maxillofacial Pathology
513 Parnassus Ave
San Francisco
, California 94143-2205
(805) 578-8950
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Richard C.k. Jordan
- Po Box 10076
- Van Nuys, CA
- Zip : 91410-0076
- Fax : (805) 578-8950
- Phone : (805) 578-8300
Second Address
- Richard C.k. Jordan
- 513 Parnassus Ave
- San Francisco, CA
- Zip : 94143-2205
- Phone : (415) 476-4868
Reviews
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Is Richard C.k. Jordan a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 58144 | CA |
| N | 1223P0106X | Oral and Maxillofacial Pathology | DE60086482 | WA |
National Provider Identifier
| NPI | 1710949979 |
|---|---|
| Provider Name | Richard C.k. Jordan |
| First Address | Van Nuys, CA 91410-0076 |
| Second Address | San Francisco, CA 94143-2205 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/04/2006 |
| Last Update Date | 23/11/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U92185 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.