| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JORDAN POURAN DANESHZADEH | 1669139044 | 2021-11-20 |
Jordan Pouran Daneshzadeh is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1669139044. Registration indicates Jordan Pouran Daneshzadeh is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Jordan Pouran Daneshzadeh |
| Practice Office Address | 25733 RYE CANYON RD VALENCIA, CA US |
| Practice Office Telephone | 6612952500 |
| Mailing Address | 40028 BLUFF CT PALMDALE, CA 935515264 US |
| Business Telephone | 6614808293 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 40028 Bluff Ct | Palmdale, CA 935515264 | 6614808293 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers |