Organization
GORDIAN MEDICAL IV, INC.
Active
Parent organization
GORDIAN MEDICAL, INC.
Other names
RestorixHealth, American Medical Technologies
Organization subpart
Yes
Provider details
NPI number
Legal business name
GORDIAN MEDICAL, INC.
Authorized official
JEFFREY BOWMAN (PRESIDENT)
(714) 556-0200
Entity
Organization
Contact information
Practice address
3610 CENTRAL AVE, FLOOR 4 SUITE 40, RIVERSIDE, CA 92506-5900
(951) 736-9000
(877) 380-8282
Mailing address
750 THE CITY DR S STE 225, ORANGE, CA 92868-4976
(714) 556-0200
(877) 380-8282
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0228912
—
OH
05
—
05171664
—
NY
05
—
08724809
—
MS
05
—
092120
—
AZ
05
—
10026672800
—
NE
05
—
1030817
—
VT
05
—
1033562880001
—
PA
05
—
1221084
—
IA
05
—
146619400
—
WY
05
—
1722491
—
AK
05
—
1992162911
—
CA
05
—
1992162911
—
CO
05
—
1992162911
—
ID
05
—
1992162911
—
MI
05
—
1992162911
—
MT
05
—
1992162911
—
NC
05
—
1992162911
—
UT
05
—
1992162911
—
WI
05
—
200711680A
—
OK
05
—
201159940A
—
KS
05
—
2083657
—
WA
05
—
246478
—
AL
05
—
250016853
—
NV
05
—
300286100
—
MD
05
—
500775991
—
OR
05
—
59557206
—
NM
05
—
DM1587
—
SC
Enumeration date
01/21/2016
Last updated
01/03/2024
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