Individual
GORDON C FORDYCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
620 S VIRGIL AVE PH 11, LOS ANGELES, CA 90005-4097
(732) 284-1247
Mailing address
620 S VIRGIL AVE PH 11, LOS ANGELES, CA 90005-4097
(732) 284-1247
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
22175
CA
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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