Individual
GORDON ALLAN ONAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 524-1211
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 524-1211
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G37903
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G379030
—
CA
Enumeration date
03/01/2007
Last updated
08/12/2008
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