Jordan M Usunov M D a Professional Corporation

NPI #1154511442 in Tracy, California

Provider Information

NPI Number: 1154511442
Entity Type: Organization
Organization Name: Jordan M Usunov M D a Professional Corporation
Primary Specialty: Ophthalmology
Enumeration Date: Aug 1, 2007
Last Updated: Jan 23, 2013

Practice Location

Address: 1540 N TRACY BLVD
Address 2: A
City: Tracy
State: California
ZIP Code: 95376-2530
Phone: (209) 836-2223

Authorized Official

Name: JORDAN M USUNOV, MD
Title: MD/DOCTOR
Phone: (209) 836-2223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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