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NPI Code Detail

MEDICARE: DR. JORDAN GELLER M.D.

MEDICARE: DR. JORDAN GELLER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RE0101XEndocrinology, Diabetes & Metabolism PhysicianA80569CA

General Provider Information

NPI Number : 1821023037
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JORDAN GELLER M.D.
Provider Business Mailing Address
First Line : 2080 CENTURY PARK E
Second Line : SUITE 1812
City : LOS ANGELES
State : CA
Zip : 90067-2001
Country : US
Telephone Number : 310-277-1812
Fax Number : 310-651-6076
Provider Business Practice Location Address
First Line : 2080 CENTURY PARK E
Second Line : SUITE 1812
City : LOS ANGELES
State : CA
Zip : 90067-2001
Country : US
Telephone Number : 310-277-1812
Fax Number : 310-300-0189
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 09/28/2020

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Directions to “ DR. JORDAN GELLER M.D.” Practice Location

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