Gordon, L Stephen
Gordon, L Stephen is an sole proprietor health care provider with primary practice located at 301 W Huntington Dr Suite 415, Arcadia CA 91007-3462. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Gordon, L Stephen can be contacted via phone (626) 445-5552.Contact Information
Primary practice address
301 W Huntington Dr Suite 415
Arcadia CA 91007-3462
Phone: (626) 445-5552
Fax: (626) 445-4411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | G124580 | California |
Profile Details
| NPI number | 1750572020 |
|---|---|
| LBN Legal business name | Gordon, L Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2007 |
| Last updated | Aug 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750572020 | NPPES |
| California | MEDICAID | 00G124580 |
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