Healthcare Provider Details

I. General information

NPI: 1326482597
Provider Name (Legal Business Name): JOSHUA L. JORDAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2013
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33255 9TH ST
UNION CITY CA
94587-2137
US

IV. Provider business mailing address

33255 9TH ST
UNION CITY CA
94587-2137
US

V. Phone/Fax

Practice location:
  • Phone: 510-471-5880
  • Fax: 510-690-0717
Mailing address:
  • Phone: 510-471-5880
  • Fax: 510-690-0717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA162942
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: