Individual
DR. MAUREEN FULCHIERO GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11980 SAN VICENTE BLVD, #704, LOS ANGELES, CA 90049-5012
(310) 826-2664
(310) 395-2046
Mailing address
11980 SAN VICENTE BLVD, #704, LOS ANGELES, CA 90049-5012
(310) 826-2664
(310) 395-2046
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A24979
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A24979
CA
Other
Enumeration date
02/22/2007
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us