Jim Gordon in Beverly Hills - Marriage & Family Therapist
Jim Gordon - NPI 1457404014
Jim Gordon is a Marriage & Family Therapist in Beverly Hills, California. Jim Gordon practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Jim Gordon is 1457404014. The last update date is 2007-07-08.
Jim Gordon's current location address is 204 S Beverly Dr, Beverly Hills, California. You can contact this provider via phone number 3102713784 and fax number 3102713785. The mailing address for Jim Gordon is 204 S Beverly Dr, Beverly Hills, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jim Gordon |
|---|---|
| Address | 204 S Beverly Dr, Beverly Hills, California |
| Phone Number | 3102713784 |
| Fax Number | 3102713785 |
| Sole Proprietor | Y |
| Credentials | PH.D., M.F |
NPI Number Detail
| NPI Number | 1457404014 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 204 S Beverly Dr |
|---|---|
| City | Beverly Hills |
| State | California (CA) |
| Post Code | 902123800 |
| Phone Number | 3102713784 |
| Fax Number | 3102713785 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFT 12651 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique 10-digit identification code issued to Jim Gordon by the Centers for Medicare & Medicaid Services?
The Jim Gordon has been assigned the NPI (National Provider Identifier) 1457404014 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Jim Gordon's facilities are geographically located?
The facilities of Jim Gordon are physically situated at the following location: 204 S Beverly Dr, Beverly Hills, CA, 902123800.
What is Jim Gordon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jim Gordon is Marriage & Family Therapist, and the taxonomy classification code that categorizes this area of expertise is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1457404014 to Jim Gordon?
The Jim Gordon received its 1457404014 assignment from the Centers for Medicare & Medicaid Services on 2007-01-18.
As of what date were the Jim Gordon's details last updated?
The information pertaining to the Jim Gordon, including its address, specialty, and other details, was most recently updated on 2007-07-08.