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DAVID JOSEPH JORDAN NPI 1871022657


NPI Information

NPI: 1871022657
Provider Name: DAVID JOSEPH JORDAN
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
1903 BATAAN RD APT 12
REDONDO BEACH, CA
ZIP 90278
Phone: (310) 606-1140
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David Joseph Jordan is a massage therapist in Redondo Beach, CA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. David Joseph Jordan NPI is 1871022657. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1903 BATAAN RD APT 12
REDONDO BEACH, CA
ZIP 90278-316
Phone: (310) 606-1140

The enumeration date for this NPI number is 6/6/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage Therapist48198CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
148198OTHERCALIFORNIAMASSAGE THERAPY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.