Organization
MICHAEL E. GORIN, MD PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL EDWARD GORIN M.D. (OWNER)
(510) 521-6510
Entity
Organization
Contact information
Practice address
501 S SHORE CTR W, SUITE 103B, ALAMEDA, CA 94501-5762
(510) 521-6510
(510) 521-1465
Mailing address
501 S SHORE CTR W, SUITE 103B, ALAMEDA, CA 94501-5762
(510) 521-6510
(510) 521-1465
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G34231
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G342310
—
CA
01
—
756181821
RAILROAD
CA
Enumeration date
09/17/2009
Last updated
09/17/2009
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