Healthcare Provider Details

I. General information

NPI: 1942204961
Provider Name (Legal Business Name): LUIS ANTONIO JOURDAN FIGUEROA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2005
Last Update Date: 08/23/2024
Certification Date: 08/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 W ONSTOTT RD
YUBA CITY CA
95993-5654
US

IV. Provider business mailing address

2145 5TH AVE
OROVILLE CA
95965-5870
US

V. Phone/Fax

Practice location:
  • Phone: 530-751-8454
  • Fax:
Mailing address:
  • Phone: 530-534-5394
  • Fax: 530-534-3820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number042.0013627
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: