| Jennifer L Jordan, RD | |
|
11165 Sepulveda Blvd, Mission Hills, CA 91345 | |
| (818) 364-9531 | |
| Not Available |
| Full Name | Jennifer L Jordan |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 11165 Sepulveda Blvd, Mission Hills, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154528958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Providence Facey Medical Foundation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710031588 PECOS PAC ID: 3173436276 Enrollment ID: O20031105000822 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L Jordan, RD Po Box 9602, Mission Hills, CA 91346-9602 Ph: (818) 837-5559 | Jennifer L Jordan, RD 11165 Sepulveda Blvd, Mission Hills, CA 91345 Ph: (818) 364-9531 |
Nina Ganley, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 11165 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-837-5779 | |
Joy K. Murosako, RD. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11165 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-837-5785 Fax: 818-898-1842 | |
Miss Melissa A Hernandez, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15301 Rinaldi Street, Mission Hills, CA 91346 Phone: 818-496-4310 | |
Brigida C Davila, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-365-9531 | |
April Goldenberg, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11165 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-837-5779 Fax: 818-837-5812 | |
Jenna Jackson, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11165 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 866-837-5779 |