Individual provider · NPI-1
Jordan Aaron Firestone, MD, PhD, MPH
Preventive Medicine, Occupational Medicine · Mountain View, CA
NPI number1124108196
StatusActive
Last updated in NPPESNov 16, 2023
Details
- NPI
- 1124108196
- Entity type
- Individual (NPI-1)
- Name
- Jordan Aaron Firestone
- Credential
- MD, PhD, MPH
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 16, 2006
- Certification date
- Nov 16, 2023
- Last updated
- Nov 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083X0100X | Preventive Medicine, Occupational Medicine | MD00035480 | WA | Yes |
| 2083X0100X | Preventive Medicine, Occupational Medicine | C54699 | CA | |
| 2084N0400X | Psychiatry & Neurology, Neurology | MD00035480 | WA | |
| 2084N0400X | Psychiatry & Neurology, Neurology | C54699 | CA |
Practice location
237 Escuela Ave Unit BMountain View, CA 94040-1812
Phone 650-554-0844
Mailing address
237 Escuela Ave Unit BMountain View, CA 94040-1812
Phone 650-554-0844
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