Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHELDON E JORDAN, M.D.
DeactivatedDR. SHELDON E JORDAN, M.D. is a Interventional Vascular Surgery healthcare provider located in SANTA MONICA, California. NPI 1316941305 is deactivated in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · SANTA MONICA, CA
This NPI has been deactivated.
The record was deactivated on March 21, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1316941305
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2005 (0.78356164383562 yrs)
- Last Updated
- Jan 6, 2010
- Deactivated
- Mar 21, 2006
- License
-
G38150 (CA)
Practice Information
- Address
-
2811 WILSHIRE BLVDSTE 790SANTA MONICA, CA, 904034805Browse CA providers · Browse ZIP 90403
- Phone
- 3108295968
- Fax
- 3104533685
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.