Individual
DR. KENNETH L. GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2080 CENTURY PARK EAST, #800, LOS ANGELES, CA 90067-2011
(310) 277-2727
(310) 553-2135
Mailing address
2080 CENTURY PARK EAST, #800, LOS ANGELES, CA 90067-2011
(310) 277-2727
(310) 553-2135
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C36598
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C365980
K.L. GORDON BL/SHLD #
CA
01
—
10019
K.L. GORDON M.D. MES #
CA
01
—
26923
SPECTERA GROUP PROVIDER #
CA
01
—
33106001
K.L. GORDON -DAVIS VISION
CA
01
—
891978
K.L. GORDON -BLOCK VISION
CA
01
—
CA0783
EYE MED GROUP PROVIDER #
CA
05
—
GR0071730
—
CA
01
—
P-11051496
K.L. GORDON MULTI-PLAN #
CA
Enumeration date
08/10/2006
Last updated
09/27/2007
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