Gordo, Jose Aurelio
Gordo, Jose Aurelio is an individual health care provider with primary practice located at 1658 West Ave J , Lancaster CA 93534. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gordo, Jose Aurelio can be contacted via phone (661) 942-6565.Contact Information
Primary practice address
1658 West Ave J
Lancaster CA 93534
Phone: (661) 942-6565
Fax: (661) 940-1066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A328840 | California |
Profile Details
| NPI number | 1114019213 |
|---|---|
| LBN Legal business name | Gordo, Jose Aurelio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114019213 | NPPES |
| California | MEDICAID | 00A328840 |
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