Dr. Manuel E. Gordillo Inc.

LBN: Dr. Manuel E. Gordillo Inc.
Dr. Manuel E. Gordillo Inc. is an health care organization with primary practice located at 30400 Detroit Rd Suite 304, Westlake OH 44145-1872. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Dr. Manuel E. Gordillo Inc. can be contacted via phone (440) 835-6189, or through Gordillo, Manuel E. via phone (440) 835-6189.

Contact Information

Primary practice address
30400 Detroit Rd Suite 304 Westlake OH 44145-1872
Phone: (440) 835-6189
Fax: (440) 899-4357
Website:
Map and Directions
Authorized official contact:
Name: Gordillo, Manuel E. Doctor of Medicine (MD)
Phone: (440) 835-6189

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 028854 Ohio

Profile Details

NPI number 1801053111
LBN Legal business name Dr. Manuel E. Gordillo Inc.
DBA Doing business as
Authorized official Gordillo, Manuel E. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2008
Last updated May 22nd, 2008 - about 17 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 1801053111 NPPES
Other 000000126508 ANTHEM ID
MEDICAID 0123780 ANTHEM ID

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