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NPI Code Detail

MEDICARE: JORDAN AMATO PHARMD

MEDICARE: JORDAN AMATO PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist81992CA

General Provider Information

NPI Number : 1154279511
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN AMATO PHARMD
Provider Business Mailing Address
First Line : 4 FAIRMONT
Second Line :
City : LAGUNA NIGUEL
State : CA
Zip : 92677-2905
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 24451 HEALTH CENTER DR
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-3689
Country : US
Telephone Number : 949-837-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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Directions to “ JORDAN AMATO PHARMD” Practice Location

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