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LEO A GORDON MD A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEO A GORDON MD (OWNER/PRESIDENT)
(310) 423-1892
Entity
Organization

Contact information

Practice address
8631 W 3RD ST, SUITE 200E, LOS ANGELES, CA 90048-5901
(310) 423-1892
Mailing address
8631 W 3RD ST, SUITE 200E, LOS ANGELES, CA 90048-5901
(310) 423-1892

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
05/19/2013
Last updated
05/19/2013
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