Organization
APT, GINDI, GORDON & KERMAN, M.D.'S INC
Active
Other names
Crenshaw Eye Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH L GORDON M.D. (PRESIDENT)
(310) 277-2727
Entity
Organization
Contact information
Practice address
3756 SANTA ROSALIA DR, SUITE 100, LOS ANGELES, CA 90008-3606
(323) 295-6611
(310) 553-2135
Mailing address
2080 CENTURY PARK E, SUITE 800, LOS ANGELES, CA 90067-2001
(310) 277-2727
(310) 553-2135
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C36598
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C365980
K. L. GORDON, M.D. BL/SHLD
CA
01
—
00G210610
J.J. GINDI BLUE SHIELD #
CA
01
—
10018
J.J. GINDI, M.D. MES#
CA
01
—
10019
K.L. GORDON, M.D. MES#
CA
01
—
180004492
J.J. GINDI RAILROAD MCR#
CA
01
—
180025685
K.L. GORDON M.D. RR MCR #
CA
01
—
26923
SPECTERA GROUP PROVIDER #
CA
01
—
33106001
K. L. GORDON - DAVIS VISION
CA
01
—
891978
K. L. GORDON BLOCK VISION
CA
01
—
891994
J.J. GINDI - DAVIS VISION
CA
01
—
CA0783
EYE MED PROVIDER #
CA
01
—
G2080558723895
K. L. GORDON, M.D. VSP#
CA
01
—
G2080559685654
J.J. GINDI M.D. VSP#
CA
05
—
GR0071730
—
CA
01
—
P-11051496
K. L. GORDON, MULTI-PLAN #
CA
01
—
W13878A
MEDICARE GROUP PROVIDER #
CA
Enumeration date
05/22/2008
Last updated
03/11/2010
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