Richard Kenneth Gordon in Northridge - Specialist
Richard Kenneth Gordon - NPI 1144242645
Richard Kenneth Gordon is a Specialist in Northridge, California. Richard Kenneth Gordon practices all healthcare services and medical treatments related to Specialist. The NPI Number for Richard Kenneth Gordon is 1144242645. The last update date is 2011-01-13.
Richard Kenneth Gordon's current location address is 8700 Reseda Blvd, Northridge, California. You can contact this provider via phone number 8187727090. The mailing address for Richard Kenneth Gordon is 8700 Reseda Blvd, Northridge, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Kenneth Gordon |
|---|---|
| Address | 8700 Reseda Blvd, Northridge, California |
| Phone Number | 8187727090 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1144242645 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2011-01-13 |
Provider Mailing Address Detail
| Address | 8700 Reseda Blvd |
|---|---|
| City | Northridge |
| State | California (CA) |
| Post Code | 913244041 |
| Phone Number | 8187727090 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G56286 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G562860 | CA | -- |
Post Comment/ Review Below
What is the Richard Kenneth Gordon's unique identification number?
The Richard Kenneth Gordon has been assigned the NPI (National Provider Identifier) Number 1144242645 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Richard Kenneth Gordon is physically located?
The Richard Kenneth Gordon is physically situated at the following address: 8700 Reseda Blvd, Northridge, CA, 913244041.
What is the Richard Kenneth Gordon's specialty and taxonomy code?
The Richard Kenneth Gordon's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did Richard Kenneth Gordon receive its 1144242645 assignment from the Centers for Medicare & Medicaid Services?
The Richard Kenneth Gordon was assigned its 1144242645 on 2006-07-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Richard Kenneth Gordon most recently updated or revised?
The information pertaining to Richard Kenneth Gordon, including its address, specialty, and other relevant details, was last updated or revised on 2011-01-13.