Organization
ATALAYA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOWELL GORDON MD (PRESIDENT)
(505) 660-7197
Entity
Organization
Contact information
Practice address
3710 LOTUS DR, SAN DIEGO, CA 92106-1139
(505) 660-7197
Mailing address
3710 LOTUS DR, SAN DIEGO, CA 92106-1139
(505) 660-7197
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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