Individual
GORDON RAYMOND SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1285 4TH ST, SAN FRANCISCO, CA 94158-2249
(888) 663-6331
(415) 252-7176
Mailing address
1492 N PALM CANYON DR, PALM SPRINGS, CA 92262-4412
(760) 322-2520
(760) 322-4021
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12992
CA
363AM0700X
Medical Physician Assistant
PA12992
CA
Other
Enumeration date
01/09/2009
Last updated
03/14/2025
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