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NPI Code Detail

MEDICARE: DR. FRANZ F. JORDAN MFT

MEDICARE:  DR. FRANZ F. JORDAN  MFT
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
1106H00000XMarriage & Family TherapistMFC23474CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CBSC558OTHERCADMH RENDERING PROVIDER NU

General Provider Information

NPI Number : 1922134725
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANZ F. JORDAN MFT
Provider Business Mailing Address
First Line : 1257 E ADA AVE
Second Line :
City : GLENDORA
State : CA
Zip : 91741-3720
Country : US
Telephone Number : 626-914-2325
Fax Number :
Provider Business Practice Location Address
First Line : 3910 OAKWOOD AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-3413
Country : US
Telephone Number : 323-953-7350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 07/08/2007

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Directions to “ DR. FRANZ F. JORDAN MFT” Practice Location

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