Individual
DR. BRIAN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.P.H.
Contact information
Practice address
1520 SAN PABLO ST, LOS ANGELES, CA 90033-5310
(323) 442-5100
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
A145371
CA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
A145371
CA
Other
Enumeration date
10/07/2016
Last updated
11/15/2022
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