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MRS. CHRISTY LEE GORDEN MD NPI 1275637282


NPI Information

NPI: 1275637282
Provider Name: MRS. CHRISTY LEE GORDEN, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
33353 YUCAIPA BLVD
YUCAIPA, CA
ZIP 92399
Phone: (909) 790-7900
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MRS. Christy Lee Gorden, MD is a pediatrics in Yucaipa, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MRS. Christy Lee Gorden, MD NPI is 1275637282. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

33353 YUCAIPA BLVD
YUCAIPA, CA
ZIP 92399-018
Phone: (909) 790-7900
Fax: (909) 790-7058

The enumeration date for this NPI number is 9/11/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsG42484CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G42484OTHERCALIFORNIAMEDICAL BOARD OF CA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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