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DR. IAN LOUIS GORDON MDPHD NPI 1437245289


NPI Profile

NPI: 1437245289
Provider Name: DR. IAN LOUIS GORDON, MDPHD
Classification:Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Address:
5901 E 7TH STREET
VAMC LONG BEACH
LONG BEACH, CA
ZIP 90822
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Phone: (562) 826-5330

DR. Ian Louis Gordon, MDPHD is a vascular surgery surgery in Long Beach, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Ian Louis Gordon, MDPHD NPI is 1437245289. 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:

5901 E 7TH STREET
VAMC LONG BEACH
LONG BEACH, CA
ZIP 90822
Phone: (562) 826-5330
Fax: (562) 826-5666

The enumeration date for this NPI number is 10/5/2006 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
12086S0129XSurgeryVascular SurgeryG55350CALIFORNIAYes

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
1A52930MEDICARE UPINCALIFORNIA

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: 11/7/2021

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