Individual
GORDON PELEGRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
168 N BRENT ST STE 406, VENTURA, CA 93003-2824
(805) 653-6371
Mailing address
168 N BRENT ST STE 406, VENTURA, CA 93003-2824
(805) 653-6371
(718) 652-8384
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A179605
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/25/2016
Last updated
11/18/2025
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