Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Josiah Harris

Individual provider Rehabilitation Practitioner · NPI 1649645805

Jordan Josiah Harris is a Rehabilitation Practitioner in Brea, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

120 S State College Blvd Ste 150
Brea, CA 92821-5837
Phone: (714) 577-5452
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X (CA)

Record details

NPI number1649645805
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 14, 2015
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025

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