Individual ProviderJordan XuStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address200 South Manchester, Suite 210 -2nd Floor, Orange, CA 92868(626) 236-3844PECOS EnrollmentBased on the most recent information from CMS, provider Jordan Xu is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1215457130Provider TypeIndividualFull NameXu, JordanTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date6/21/2017Last Updated3/7/2023Contact InformationPractice LocationPractice Address200 South Manchester, Suite 210 -2nd Floor, Orange, CA 92868Phone(626) 236-3844FaxUnlisted FaxMailing LocationMailing Address200 S Manchester Ave Ste 210-2nd, Orange, CA 92868-3217PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer