Gordon, Robert T.

Gordon, Robert T. is an individual health care provider with primary practice located at 10666 N Torrey Pines Rd , La Jolla CA 92037-1027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Gordon, Robert T. can be contacted via phone (858) 554-8680.

Contact Information

Primary practice address
10666 N Torrey Pines Rd La Jolla CA 92037-1027
Phone: (858) 554-8680
Fax: (858) 784-5933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G16191 California

Profile Details

NPI number 1619944030
LBN Legal business name Gordon, Robert T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Jul 25th, 2007 - about 18 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 1619944030 NPPES
California MEDICAID 00G161910

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