Gordon, Josh L.

Gordon, Josh L. is an individual health care provider with primary practice located at 3626 Ruffin Rd , San Diego CA 92123-1810. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Gordon, Josh L. can be contacted via phone (858) 565-9666.

Contact Information

Primary practice address
3626 Ruffin Rd San Diego CA 92123-1810
Fax: (858) 565-9441
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G83917 California
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X G83917 California

Profile Details

NPI number 1770513798
LBN Legal business name Gordon, Josh L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Dec 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770513798 NPPES
California Other 00G839170 BLUE SHIELD OF CA
California MEDICAID 00G839170 BLUE SHIELD OF CA

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