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Individual

MR. LUIS GORORDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
24012 CALLE DE LA PLATA STE 400, LAGUNA HILLS, CA 92653-7623
(833) 247-9111
Mailing address
24012 CALLE DE LA PLATA STE 400, LAGUNA HILLS, CA 92653-7623
(833) 247-9111

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
04/15/2021
Last updated
05/17/2021
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