Gordon, Maureen Fulchiero
Gordon, Maureen Fulchiero is an sole proprietor health care provider with primary practice located at 11980 San Vicente Blvd #704, Los Angeles CA 90049-5012. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Gordon, Maureen Fulchiero can be contacted via phone (310) 826-2664.Contact Information
Primary practice address
11980 San Vicente Blvd #704
Los Angeles CA 90049-5012
Phone: (310) 826-2664
Fax: (310) 395-2046
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A24979 | California |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | A24979 | California |
Profile Details
| NPI number | 1659406361 |
|---|---|
| LBN Legal business name | Gordon, Maureen Fulchiero |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 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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