Healthcare Provider Details

I. General information

NPI: 1588575849
Provider Name (Legal Business Name): JORDAN A. REES, MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 N ROBERTSON BLVD STE 150
BEVERLY HILLS CA
90211-2171
US

IV. Provider business mailing address

150 N ROBERTSON BLVD STE 150
BEVERLY HILLS CA
90211-2171
US

V. Phone/Fax

Practice location:
  • Phone: 310-424-5480
  • Fax: 310-652-4053
Mailing address:
  • Phone: 310-424-5480
  • Fax: 310-652-4053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: JORDAN A REES
Title or Position: OWNER
Credential: MD
Phone: 310-424-5480