Organization
MARVIN ISAAC GORDON MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN ISAAC GORDON M.D. (DOCTOR/OWNER)
(310) 622-3600
Entity
Organization
Contact information
Practice address
3300 E SOUTH ST STE 207, LAKEWOOD, CA 90805-4549
(562) 602-5503
Mailing address
163 N FORMOSA AVE, LOS ANGELES, CA 90036-2817
(310) 622-3600
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A83747
CA
Other
Enumeration date
01/17/2012
Last updated
11/14/2019
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