Individual
DANIEL MARK GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 CALIFORNIA BLVD STE P, SAN LUIS OBISPO, CA 93401-2590
(805) 544-8709
(805) 544-7809
Mailing address
620 CALIFORNIA BLVD STE P, SAN LUIS OBISPO, CA 93401-2590
(805) 544-8709
(805) 544-7809
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
G42749
CA
2084P0802X
Addiction Psychiatry Physician
Primary
G42749
CA
Other
Enumeration date
04/04/2007
Last updated
09/11/2025
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