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Individual

DR. L STEPHEN GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
301 W HUNTINGTON DR, SUITE 415, ARCADIA, CA 91007-3462
(626) 445-5552
(626) 445-4411
Mailing address
301 W HUNTINGTON DR, SUITE 415, ARCADIA, CA 91007-3462
(626) 445-5552
(626) 445-4411

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
G124580
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G124580
CA
Enumeration date
08/05/2007
Last updated
08/06/2007
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