Individual provider · Type 1 NPI

Jordan Gendelman

Student in an Organized Health Care Education/Training Program · Oceanside, CA

NPI number 1104164375 Active

Practice location

1701 Mission Ave Ste A
Oceanside, CA 92058-7102

Call (760) 967-4475 Map

Mailing address

744 Cornish Dr
Encinitas, CA 92024-4514

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104164375

Jordan Gendelman's National Provider Identifier is 1104164375, issued on Jan 23, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oceanside, CA. The record was last updated on Aug 13, 2014.