MARK LORRY GORDON M.D. NPI 1306987946

NPI Information

NPI: 1306987946
Provider Name: MARK LORRY GORDON, M.D.
Classification: Family Medicine - 207QG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Address:
16661 VENTURA BLVD
SUITE 716
ENCINO, CA
ZIP 91436
Phone: (818) 990-1166
Get Directions

Mark Lorry Gordon, M.D. is a geriatric medicine family medicine in Encino, CA. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. Mark Lorry Gordon, M.D. NPI is 1306987946. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16661 VENTURA BLVD
SUITE 716
ENCINO, CA
ZIP 91436-914
Phone: (818) 990-1166

The enumeration date for this NPI number is 2/8/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QG0300X	Family Medicine	Geriatric Medicine	A041223	CALIFORNIA	Yes
2	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	A41223	CALIFORNIA	X

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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