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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW JORDAN SANTA CRUZ, PA

Active Sole Proprietor

MATTHEW JORDAN SANTA CRUZ, PA is a Physician Assistant healthcare provider located in LA VERNE, California. NPI 1609424027 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LA VERNE, CA

Registration Details

NPI Number
1609424027
Provider Type
Individual
Gender
Male
NPI Issued
Aug 28, 2019 (6.7802597264498 yrs)
Last Updated
Nov 10, 2022
Sole Proprietor
Yes

Practice Information

Address
1234 FOOTHILL BLVD
LA VERNE, CA, 917503329
Browse CA providers · Browse ZIP 91750
Phone
9099714808
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LA VERNE, CA

Name Credential NPI
MR. JASON WAGNER PA-C 1457753519
REY CASTILLO EMMANUELLI PA 1003622317
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.