Organization
GORDON E. TRAUB, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON E. TRAUB M.D. (PRESIDENT)
(714) 996-6440
Entity
Organization
Contact information
Practice address
17021 YORBA LINDA BLVD, SUITE 100, YORBA LINDA, CA 92886-3743
(714) 996-6440
(714) 996-5831
Mailing address
17021 YORBA LINDA BLVD, SUITE 100, YORBA LINDA, CA 92886-3743
(714) 996-6440
(714) 996-5831
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A22330
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0048232
—
CA
Enumeration date
10/10/2007
Last updated
10/22/2007
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