Healthcare Provider Details

I. General information

NPI: 1801729108
Provider Name (Legal Business Name): JORDI HERNANDEZ-GARCIA DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 STANDIFORD AVE STE B
MODESTO CA
95350-0730
US

IV. Provider business mailing address

1421 STANDIFORD AVE STE B
MODESTO CA
95350-0730
US

V. Phone/Fax

Practice location:
  • Phone: 209-521-1122
  • Fax:
Mailing address:
  • Phone: 209-521-1122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number37651
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: