| Jordan Neuroservices A Medical Corporation | |
|
1660 Plum Ln Redlands CA 92374-4532 | |
| (909) 881-1031 | |
| Not Available |
| Full Name | Jordan Neuroservices A Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1660 Plum Ln, Redlands, California |
| Authorized Official Name and Position | Kenneth George Jordan (PRESIDENT / OWNER) |
| Authorized Official Contact | 9098811031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Neuroservices A Medical Corporation 1660 Plum Ln Redlands CA 92374-4532 Ph: (909) 881-1031 | Jordan Neuroservices A Medical Corporation 1660 Plum Ln Redlands CA 92374-4532 Ph: (909) 881-1031 |
| NPI Number | 1851510663 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 07/09/2024 |
| Certification Date | 07/09/2024 |
| Medicare PECOS PAC ID | 6709970387 |
|---|---|
| Medicare Enrollment ID | O20070913000745 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851510663 | NPI | - | NPPES |
| 00G283910 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Kenneth Jordan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477537116 PECOS PAC ID: 1254425820 Enrollment ID: I20070913000739 |
South Coast Children's Society, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1030 Nevada St Ste 200, Redlands, CA 92374 Phone: 877-527-7227 | |
Lance J Johns Marriage And Family Therapy Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 9th St Ste 100-173, Redlands, CA 92374 Phone: 909-654-5992 | |
San Bernardino County Superintendent Of Schools Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1812 W Park Ave, Redlands, CA 92373 Phone: 909-748-0259 | |
Inlandpsych Redlands Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 255 Terracina Blvd, Suite 204, Redlands, CA 92373 Phone: 909-798-1763 | |
Creative Change Therapy Center, A Clinical Social Worker Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1255 W Colton Ave # 614, Redlands, CA 92374 Phone: 760-699-4199 | |
Cross Cultural Marriage And Familytherapy Counselling Ce Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 W State St, Suite # C, Redlands, CA 92373 Phone: 562-522-8008 Fax: 909-335-5991 | |
Thomas Psychology Group Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1221 Calle De Barranca, Redlands, CA 92373 Phone: 909-255-2860 Fax: 909-796-0027 |