| Ms Ryan Michelle Jordan, PA | |
|
4955 Van Nuys Blvd, 505, Sherman Oaks, CA 91403-1801 | |
| (818) 986-5500 | |
| (818) 986-5503 |
| Full Name | Ms Ryan Michelle Jordan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 4955 Van Nuys Blvd, Sherman Oaks, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942481742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA18735 (California) | Primary |
| Entity Name | Providence Facey Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710031588 PECOS PAC ID: 3173436276 Enrollment ID: O20031105000822 |
| Entity Name | Ali R Namazie MD a Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104046747 PECOS PAC ID: 6305972456 Enrollment ID: O20100416000591 |
| Entity Name | Marc M Kerner M D APC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972857464 PECOS PAC ID: 1557513082 Enrollment ID: O20121210000220 |
| Entity Name | Ent Group of Los Angeles |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518359850 PECOS PAC ID: 4880902790 Enrollment ID: O20150925001882 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Ryan Michelle Jordan, PA 4955 Van Nuys Blvd, 505, Sherman Oaks, CA 91403-1801 Ph: (818) 986-5500 | Ms Ryan Michelle Jordan, PA 4955 Van Nuys Blvd, 505, Sherman Oaks, CA 91403-1801 Ph: (818) 986-5500 |
Mr. Darcesean Gamble, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4955 Van Nuys Blvd Ste 411, Sherman Oaks, CA 91403 Phone: 818-784-1195 |
Mark Wood, Physician Assistant Medicare: Medicare Enrolled Practice Location: 5000 Van Nuys Blvd Ste 205, Sherman Oaks, CA 91403 Phone: 818-850-2243 Fax: 661-360-6380 |
Heather Tran, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4836 Van Nuys Blvd, Sherman Oaks, CA 91403 Phone: 818-907-7546 Fax: 818-907-9506 |
Ms. Jaclyn Sonia Agopian, MPAP, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4836 Van Nuys Blvd, Sherman Oaks, CA 91403 Phone: 818-907-7546 Fax: 818-907-9506 |
Christina Younan Tossoun, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4955 Van Nuys Blvd Ste 200, Sherman Oaks, CA 91403 Phone: 818-981-1555 |
Lili Yen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4955 Van Nuys Blvd Ste 502, Sherman Oaks, CA 91403 Phone: 818-325-0200 |
Mark Ashby, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13547 Ventura Blvd Ste 282, Sherman Oaks, CA 91423 Phone: 818-968-4242 Fax: 818-968-4242 |