Wilborn, Jordan Isiah Anthony

Wilborn, Jordan Isiah Anthony is an sole proprietor health care provider with primary practice located at 2640 Industry Way , Lynwood CA 90262-4284. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Nursing Service Providers / Licensed Psychiatric Technician. Nursing Service Providers / Licensed Psychiatric Technician is his primary health care specialty. Wilborn, Jordan Isiah Anthony can be contacted via phone (310) 627-4525.

Contact Information

Primary practice address
2640 Industry Way Lynwood CA 90262-4284
Phone: (310) 627-4525
Fax: (310) 945-3356
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 42594 California

Profile Details

NPI number 1942974050
LBN Legal business name Wilborn, Jordan Isiah Anthony
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2021
Last updated Aug 3rd, 2023 - about last year

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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