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Jordan A Hastie

Obstetrics & Gynecology in Oakland, CA. Individual provider (NPI-1).

NPI number1801355136
StatusActive
Last updated in NPPESMar 19, 2025

Details

NPI
1801355136
Entity type
Individual (NPI-1)
Name
Jordan A Hastie
Sex
Female
Sole proprietor
No
Enumeration date
Mar 16, 2019
Certification date
Mar 19, 2025
Last updated
Mar 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207V00000X Obstetrics & GynecologyA187557CAYes

Practice location

700 Adeline St
Oakland, CA 94607-2608

Phone 510-835-9610

Mailing address

473 Jean St Apt 210
Oakland, CA 94610-2684

Phone 302-690-9980

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