CARL J. GORDON M.D. INC. NPI 1780848473

NPI Information

NPI: 1780848473
Provider Name: CARL J. GORDON, M.D. INC.
Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

Address:
6360 WILSHIRE BLVD
SUITE 409
LOS ANGELES, CA
ZIP 90048
Phone: (323) 931-2606
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CARL J. GORDON, M.D. INC. is an ophthalmologic surgery clinic center in Los Angeles, CA. CARL J. GORDON, M.D. INC. NPI is 1780848473. The provider is registered as an organization entity type.

The provider's business location address is:

6360 WILSHIRE BLVD
SUITE 409
LOS ANGELES, CA
ZIP 90048-603
Phone: (323) 931-2606
Fax: (323) 931-2927

The provider's authorized official is Carl Jeffrey Gordon .
The authorized official title is President and has the following contact phone number (323) 931-2606.

The enumeration date for this NPI number is 7/11/2008 and was last updated on 7/14/2009.

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	261QS0132X	Clinic/Center	Ophthalmologic Surgery	G9592	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	BS282A	MEDICARE PIN	CALIFORNIA
2	G9592	OTHER	CALIFORNIA	CALIFORNIA MEDICAL LICENSE
3	C36222	MEDICARE UPIN	CALIFORNIA
4	000G95920	MEDICAID	CALIFORNIA

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

NPI Synchronization or Removal

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