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

Jordan William Kubicki

Individual provider Rehabilitation Practitioner · NPI 1124681556

Jordan William Kubicki is a Rehabilitation Practitioner in Pasadena, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

867 N Fair Oaks Ave
Pasadena, CA 91103-3050
Phone: (626) 798-6793
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1124681556
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 22, 2019
Last updated in NPPESApril 22, 2019

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