Individual
DR. IAN LOUIS GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDPHD
Contact information
Practice address
5901 E 7TH STREET, VAMC LONG BEACH, LONG BEACH, CA 90822
(562) 826-5330
(562) 826-5666
Mailing address
6361 E DEBORAH ST, LONG BEACH, CA 90815-2252
(562) 826-5330
(562) 826-5666
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
G55350
CA
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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