Individual
DON GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 SAN PABLO ST, LOS ANGELES, CA 90033-5313
(323) 442-8824
Mailing address
1540 ALCAZAR ST, CHP 133, LOS ANGELES, CA 90089-0080
(323) 442-8824
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3526
CA
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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