Doctor Name: | EVE H. GORDON |
NPI Number: | 1043387947 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | G42673 |
Business Practice Address: | 13652 Cantara St Panorama City, CA - 914025423 |
Business Phone Number: | 8183752000 |
Business Fax Number: | |
Mailing Address: | 13652 Cantara St, PANORAMA CITY |
State: | CA |
Postal Code: | 914025423 |
Phone Number: | 8183752000 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 09/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207KA0200X |
License Number: | G42673 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Allergy & Immunology |
Taxonomy Specialization: | Allergy |
Taxonomy Definition: |