Individual provider · Type 1 NPI

Jordan Riccoboni, MPA

Physician Assistant · Wilmington, CA

NPI number 1083442123 Active

Practice location

1334 N Avalon Blvd
Wilmington, CA 90744-2639

Call (310) 835-4009 Map

Mailing address

17575 Yukon Ave Apt K4
Torrance, CA 90504-3445

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1083442123

Jordan Riccoboni, MPA's National Provider Identifier is 1083442123, issued on Jul 22, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wilmington, CA. The record was last updated on Mar 21, 2025.