Carl J. Gordon, M.D. Inc.

LBN: Carl J. Gordon, M.D. Inc.
Carl J. Gordon, M.D. Inc. is an health care organization with primary practice located at 6360 Wilshire Blvd Suite 409, Los Angeles CA 90048-5603. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ophthalmologic Surgery, which is considered as the primary health care specialty. Carl J. Gordon, M.D. Inc. can be contacted via phone (323) 931-2606, or through Gordon, Carl Jeffrey via phone (323) 931-2606.

Contact Information

Primary practice address
6360 Wilshire Blvd Suite 409 Los Angeles CA 90048-5603
Phone: (323) 931-2606
Fax: (323) 931-2927
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Carl Jeffrey Doctor of Medicine (MD)
Phone: (323) 931-2606

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ophthalmologic Surgery 261QS0132X G9592 California

Profile Details

NPI number 1780848473
LBN Legal business name Carl J. Gordon, M.D. Inc.
DBA Doing business as
Authorized official Gordon, Carl Jeffrey Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2008
Last updated Jul 14th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780848473 NPPES
California MEDICAID 000G95920
California Other G9592

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