Individual
MR. ALBERT GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
956 S EMERALD ST, ANAHEIM, CA 92804-4424
(714) 353-4918
Mailing address
956 S EMERALD ST, ANAHEIM, CA 92804-4424
(714) 353-4918
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/26/2021
Last updated
05/03/2021
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