Mark Lorry Gordon in Encino - Geriatric Medicine
Mark Lorry Gordon - NPI 1306987946
Mark Lorry Gordon is a Geriatric Medicine in Encino, California. Mark Lorry Gordon practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Mark Lorry Gordon is 1306987946. The last update date is 2007-07-08.
Mark Lorry Gordon's current location address is 16661 Ventura Blvd, Encino, California. You can contact this provider via phone number 8189901166. The mailing address for Mark Lorry Gordon is 16661 Ventura Blvd, Encino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Lorry Gordon |
|---|---|
| Address | 16661 Ventura Blvd, Encino, California |
| Phone Number | 8189901166 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1306987946 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 16661 Ventura Blvd |
|---|---|
| City | Encino |
| State | California (CA) |
| Post Code | 914361914 |
| Phone Number | 8189901166 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
| Licence No | A041223 |
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Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
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What is the unique 10-digit identification code issued to Mark Lorry Gordon by the Centers for Medicare & Medicaid Services?
The Mark Lorry Gordon has been assigned the NPI (National Provider Identifier) 1306987946 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Mark Lorry Gordon's physical address?
The Mark Lorry Gordon is physically located at 16661 Ventura Blvd, in the city of Encino, CA, with the postal code 914361914.
What is Mark Lorry 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 Mark Lorry Gordon is Geriatric Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qg0300X.
On what date did Mark Lorry Gordon receive its 1306987946 assignment from the Centers for Medicare & Medicaid Services?
The Mark Lorry Gordon was assigned its 1306987946 on 2007-02-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mark Lorry Gordon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark Lorry Gordon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN