# MARVIN ISAAC GORDON MD A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891066221
- **Authorized official:** MARVIN ISAAC GORDON M.D. (DOCTOR/OWNER)
- **Authorized official phone:** (310) 622-3600

## Contact information

- **Practice address:** 3300 E SOUTH ST STE 207, LAKEWOOD, CA 90805-4549
- **Practice address phone:** (562) 602-5503
- **Mailing address:** 163 N FORMOSA AVE, LOS ANGELES, CA 90036-2817
- **Mailing address phone:** (310) 622-3600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A83747 | CA | Yes |

## Other

- **Enumeration date:** 01/17/2012
- **Last updated:** 11/14/2019