# APT, GINDI, GORDON & KERMAN, M.D.'S INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crenshaw Eye Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518124858
- **Authorized official:** DR. KENNETH L GORDON M.D. (PRESIDENT)
- **Authorized official phone:** (310) 277-2727

## Contact information

- **Practice address:** 3756 SANTA ROSALIA DR, SUITE 100, LOS ANGELES, CA 90008-3606
- **Practice address phone:** (323) 295-6611
- **Practice address fax:** (310) 553-2135
- **Mailing address:** 2080 CENTURY PARK E, SUITE 800, LOS ANGELES, CA 90067-2001
- **Mailing address phone:** (310) 277-2727
- **Mailing address fax:** (310) 553-2135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | C36598 | CA | Yes |

## Other

- **Enumeration date:** 05/22/2008
- **Last updated:** 03/11/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00C365980 | K. L. GORDON, M.D. BL/SHLD | CA |
| 01 | — | 00G210610 | J.J. GINDI BLUE SHIELD \# | CA |
| 01 | — | 10018 | J.J. GINDI, M.D. MES\# | CA |
| 01 | — | 10019 | K.L. GORDON, M.D. MES\# | CA |
| 01 | — | 180004492 | J.J. GINDI RAILROAD MCR\# | CA |
| 01 | — | 180025685 | K.L. GORDON M.D. RR MCR \# | CA |
| 01 | — | 26923 | SPECTERA GROUP PROVIDER \# | CA |
| 01 | — | 33106001 | K. L. GORDON - DAVIS VISION | CA |
| 01 | — | 891978 | K. L. GORDON BLOCK VISION | CA |
| 01 | — | 891994 | J.J. GINDI BLOCK VISION | CA |
| 01 | — | CA0783 | EYE MED PROVIDER \# | CA |
| 01 | — | G2080558723895 | K. L. GORDON, M.D. VSP\# | CA |
| 01 | — | G2080559685654 | J.J. GINDI M.D. VSP\# | CA |
| 05 | — | GR0071730 | — | CA |
| 01 | — | P-11051496 | K. L. GORDON, MULTI-PLAN \# | CA |
| 01 | — | W13878A | MEDICARE GROUP PROVIDER \# | CA |