Individual
DR. MARVIN ISAAC GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3300 E SOUTH ST STE 207, LAKEWOOD, CA 90805-4549
(562) 602-5503
Mailing address
163 N FORMOSA AVE, LOS ANGELES, CA 90036-2817
(310) 622-3600
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A83747
CA
Other
Enumeration date
04/17/2007
Last updated
11/14/2019
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