Individual
DR. GORDON JUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3282 ADELINE ST, BERKELEY, CA 94703-2439
(510) 981-5260
(510) 981-5255
Mailing address
3282 ADELINE ST, BERKELEY, CA 94703-2439
(510) 981-5260
(510) 981-5255
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C38064
CA
Other
Enumeration date
11/01/2006
Last updated
02/03/2014
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