Gordon, Jonathan Melvin

Gordon, Jonathan Melvin is an individual health care provider with primary practice located at 414 N Camden Dr Suite 1260, Beverly Hills CA 90210-4532. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Gordon, Jonathan Melvin can be contacted via phone (310) 859-8123.

Contact Information

Primary practice address
414 N Camden Dr Suite 1260 Beverly Hills CA 90210-4532
Fax: (310) 859-2884
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 34926 California

Profile Details

NPI number 1255448767
LBN Legal business name Gordon, Jonathan Melvin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
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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