Lee, Gordon Eliot

Lee, Gordon Eliot is an sole proprietor health care provider with primary practice located at 1505 Soquel Drive Suite 8, Santa Cruz CA 95065-1716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Lee, Gordon Eliot can be contacted via phone (831) 476-4230.

Contact Information

Primary practice address
1505 Soquel Drive Suite 8 Santa Cruz CA 95065-1716
Phone: (831) 476-4230
Fax: (831) 476-0571
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X G29794 California

Profile Details

NPI number 1124100367
LBN Legal business name Lee, Gordon Eliot
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Jan 24th, 2012 - about 14 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 1124100367 NPPES
California MEDICAID 4087118

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