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Contact Information

JORDAN FASANO, LVN
31269 MANGROVE DR.
TEMECULA, CA92592
 Phone: 858-337-4122
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Vocational Nurse

164X00000X
Indicates primary specialty

NPI Profile & details for JORDAN FASANO · (Male)

NPI # 1457646655
Status Active
Credentials LVN (Licensed Vocational Nurse)
Entity Individual
Enumeration date 06/15/2011
Last updated 06/15/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 257921
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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