NPI 1699131516
Jon Ernie Ordaniel
Practice location
- Address
- 11301 Wilshire Blvd, Los Angeles, CA 90073-1003
- Phone
- (310) 478-3711
- Mailing address
- 10770 Palms Blvd APT 109, Los Angeles, CA 90034-5573
Registered specialties
Kinesiotherapist
Primary
Registry record
- NPI
- 1699131516
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Jan 2016
- Record last updated
- 7 Jan 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.