Individual provider · Type 1 NPI

Elias Thomas Jordan

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

NPI number 1770134835 Active

Practice location

105 N Lincoln St
Santa Maria, CA 93458-4319

Call (805) 928-1707 Map

Mailing address

123 W Gutierrez St
Santa Barbara, CA 93101-3424

Specialties and licenses

TaxonomyCodeLicense
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 1770134835

Elias Thomas Jordan's National Provider Identifier is 1770134835, issued on Sep 20, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Maria, CA. The record was last updated on Sep 20, 2019.