Jordanides, Dennis T

Jordanides, Dennis T is an sole proprietor health care provider with primary practice located at 500 Superior Ave Suite 135, Newport Beach CA 92663-3657. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jordanides, Dennis T can be contacted via phone (949) 734-7446.

Contact Information

Primary practice address
500 Superior Ave Suite 135 Newport Beach CA 92663-3657
Phone: (949) 734-7446
Fax: (949) 734-7448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A66293 California

Profile Details

NPI number 1285638031
LBN Legal business name Jordanides, Dennis T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2005
Last updated Aug 22nd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285638031 NPPES
California Other 00A66293 BLUE SHEILD OF CALIFORNIA
California Other P00471216 BLUE SHEILD OF CALIFORNIA
California MEDICAID 00A66293 BLUE SHEILD OF CALIFORNIA

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