Gordon, Daniel Mark

Gordon, Daniel Mark is an sole proprietor health care provider with primary practice located at 620 California Blvd Ste P , San Luis Obispo CA 93401-2590. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Gordon, Daniel Mark can be contacted via phone (805) 544-8709.

Contact Information

Primary practice address
620 California Blvd Ste P San Luis Obispo CA 93401-2590
Phone: (805) 544-8709
Fax: (805) 544-7809
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G42749 California
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X G42749 California

Profile Details

NPI number 1144342601
LBN Legal business name Gordon, Daniel Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2007
Last updated Jul 8th, 2007 - about 17 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.

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