Individual
DR. ALEXIS J GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
808 W 58TH ST FL 2, LOS ANGELES, CA 90037-3632
(323) 541-1600
Mailing address
808 W 58TH ST FL 2, LOS ANGELES, CA 90037-3632
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A152357
CA
208000000X
Pediatrics Physician
A152357
CA
Other
Enumeration date
03/25/2016
Last updated
09/09/2020
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