Individual
DR. DREW B GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5700 WILSHIRE BLVD # 165, LOS ANGELES, CA 90036-3659
(323) 932-1999
(323) 932-8899
Mailing address
5700 WILSHIRE BLVD # 165, LOS ANGELES, CA 90036-3659
(323) 932-1999
(323) 932-8899
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 26173
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ58789Z
BLUE SHIELD
CA
Enumeration date
03/13/2007
Last updated
07/08/2007
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