Individual
PATRICIA S. GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8900 WILSHIRE BLVD, BEVERLY HILLS, CA 90211-1958
(310) 432-8900
(310) 432-8901
Mailing address
8900 WILSHIRE BLVD, BEVERLY HILLS, CA 90211-1958
(310) 432-8900
(310) 432-8901
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G53353
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G533531
—
CA
01
—
A002
TRIWEST PROVIDER #
CA
01
—
G53353
CA LICENSE
CA
Enumeration date
02/07/2007
Last updated
03/24/2014
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