Individual
JOHN B GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3131 BERGER AVE STE 200, SAN DIEGO, CA 92123-4203
(858) 244-6865
(858) 244-6909
Mailing address
3131 BERGER AVE STE 200, SAN DIEGO, CA 92123-4203
(858) 244-6800
(858) 244-6909
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
C42631
CA
207RI0011X
Interventional Cardiology Physician
Primary
C42631
CA
2085R0204X
Vascular & Interventional Radiology Physician
C42631
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C426310
—
CA
Enumeration date
11/07/2005
Last updated
06/03/2021
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