Individual
DR. MICHAEL EDWARD GORIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 S SHORE CTR W, SUITE 103B, ALAMEDA, CA 94501-5762
(510) 521-6510
(510) 521-1465
Mailing address
501 S SHORE CTR W, SUITE 103B, ALAMEDA, CA 94501-5762
(510) 521-6510
(510) 521-1465
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
00G342310
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G342310
—
CA
01
—
1093010001
CIGNA MEDICARE DMERC
—
01
—
756181821
RR M CARE
—
Enumeration date
02/06/2006
Last updated
09/10/2009
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