Gordon, John B
Gordon, John B is an individual health care provider with primary practice located at 3131 Berger Ave Ste 200 , San Diego CA 92123-4203. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Gordon, John B can be contacted via phone (858) 244-6865.Contact Information
Primary practice address
3131 Berger Ave Ste 200
San Diego CA 92123-4203
Phone: (858) 244-6865
Fax: (858) 244-6909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | C42631 | California |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | C42631 | California |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | C42631 | California |
Profile Details
| NPI number | 1962483099 |
|---|---|
| LBN Legal business name | Gordon, John B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Jun 3rd, 2021 - about 3 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 | 1962483099 | NPPES |
| California | MEDICAID | 00C426310 |
Popular Providers
-
Young, Thomas R
5555 Reservoir Drive Suite 112, San Diego CA 92120-5195 -
Glassman, Jerrold
4060 Fourth Ave Suite 650, San Diego CA 92103-2116 -
Bennett, William
34800 Bob Wilson Dr Nmcsd, Attn: Medical Staff Services, San Diego CA 92134-1098 -
Friedman, Richard Gary
4060 Fourth Ave Suite 650, San Diego CA 92103-2116 -
Osborne, Richard G.
4647 Zion Ave , San Diego CA 92120-2507 -
Ostrander, David Ross
2929 Health Center Dr , San Diego CA 92123-2762 -
Patel, Mitul Piyush
200 W Arbor Dr , San Diego CA 92103 -
Reeves, Ryan Robert
200 W Arbor Dr , San Diego CA 92103