Jordan Riccoboni, MPA
NPI #1083442123 in Wilmington, California
Provider Information
- NPI Number
- 1083442123
- Entity Type
- Individual
- Name
- Jordan Riccoboni, MPA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- MPA
- Enumeration Date
- Jul 22, 2024
- Last Updated
- Mar 21, 2025
Practice Location
- Address
- 1334 N AVALON BLVD
- City
- Wilmington
- State
- California
- ZIP Code
- 90744-2639
- Phone
- (310) 835-4009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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