Individual provider · Type 1 NPI

Jordan Tyler G. Javellana, PA-C

Physician Assistant · Costa Mesa, CA

NPI number 1679359665 Active

Practice location

139 Lisa Ln Apt C
Costa Mesa, CA 92627-9468

Call (714) 686-1431 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA63252 (CA)

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 1679359665

Jordan Tyler G. Javellana, PA-C's National Provider Identifier is 1679359665, issued on Sep 5, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Costa Mesa, CA. The record was last updated on Sep 5, 2023.