Healthcare Provider Details

I. General information

NPI: 1548276785
Provider Name (Legal Business Name): DEBORAH JORDAN-REED N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10251 ARTESIA BLVD
BELLFLOWER CA
90706-6719
US

IV. Provider business mailing address

PO BOX 1682
BELLFLOWER CA
90707-1682
US

V. Phone/Fax

Practice location:
  • Phone: 562-867-8681
  • Fax: 562-925-2721
Mailing address:
  • Phone: 562-229-9452
  • Fax: 562-920-4642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberNP2881
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: