Jordan Bridger | San Dimas, CA • PECOS Search

Jordan Bridger

Contractor

Other Service Providers

1440 Camper View Rd # Sited3, San Dimas, CA 91773-3924

PECOS Enrollment

Based on the most recent information from CMS, provider Jordan Bridger does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1912719980
Provider Type
Individual
Full Name
Bridger, Jordan
Title
Mr.

Credential
PH.D
Sole Proprietor
Yes
Enumeration Date
1/24/2025
Last Updated
1/24/2025

Contact Information

Practice Location

1440 Camper View Rd # Sited3, San Dimas, CA 91773-3924

Unlisted Fax

Mailing Location

1440 Camper View Rd # Sited3, San Dimas, CA 91773-3924

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171W00000X Primary	Description Contractor Other Service Providers	License Unlisted Issuer