Provider Demographics
NPI:1699394809
Name:EMONT, JORDAN PAUL (MD MPH SCM)
Entity type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:PAUL
Last Name:EMONT
Suffix:
Gender:
Credentials:MD MPH SCM
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1720 VILLA ST APT 349
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94041-1593
Mailing Address - Country:US
Mailing Address - Phone:323-828-5368
Mailing Address - Fax:844-522-6060
Practice Address - Street 1:1885 BAY RD
Practice Address - Street 2:
Practice Address - City:EAST PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94303-1312
Practice Address - Country:US
Practice Address - Phone:650-330-7400
Practice Address - Fax:650-323-1406
Is Sole Proprietor?:No
Enumeration Date:2020-04-09
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA192120207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology