Individual
MR. CHARLES ALBERT GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1059 S FAIRFAX AVE, LOS ANGELES, CA 90019-4402
(310) 600-0896
Mailing address
176 S SYCAMORE AVE, LOS ANGELES, CA 90036-2906
(310) 600-0896
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A66858
CA
Other
Enumeration date
08/20/2006
Last updated
11/18/2021
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