Individual
DR. DAVID W GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
851 N HOLLYWOOD WAY, BURBANK, CA 91505-2814
(818) 842-2111
(818) 842-4454
Mailing address
851 N HOLLYWOOD WAY, BURBANK, CA 91505-2814
(818) 842-2111
(818) 842-4454
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6675 TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM395A
MEDICARE PTAN
CA
05
—
SD0066750
—
CA
Enumeration date
11/17/2006
Last updated
12/11/2013
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