Gordon, Mark Lorry

Gordon, Mark Lorry is an sole proprietor health care provider with primary practice located at 16661 Ventura Blvd Suite 716, Encino CA 91436-1914. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Gordon, Mark Lorry can be contacted via phone (818) 990-1166.

Contact Information

Primary practice address
16661 Ventura Blvd Suite 716 Encino CA 91436-1914
Phone: (818) 990-1166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X A041223 California
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X A41223 California

Profile Details

NPI number 1306987946
LBN Legal business name Gordon, Mark Lorry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 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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