MEDICARE: LUIS ANTONIO JOURDAN FIGUEROA MD

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
1	208D00000X	General Practice Physician	042.0013627	VT

General Provider Information

NPI Number	:	1942204961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUIS ANTONIO JOURDAN FIGUEROA MD

Provider Business Mailing Address
First Line	:	2145 5TH AVE
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95965-5870
Country	:	US
Telephone Number	:	530-534-5394
Fax Number	:	530-534-3820

Provider Business Practice Location Address
First Line	:	555 W ONSTOTT RD
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95993-5654
Country	:	US
Telephone Number	:	530-751-8454
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	08/23/2024

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