Individual
ELLEN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(818) 244-7257
Mailing address
1540 E COLORADO ST, GLENDALE, CA 91205-1514
(818) 244-7257
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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