Mita R Gordo is a Internal Medicine in Stockton, California. Mita R Gordo practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mita R Gordo is 1619933553. The last update date is 2010-06-21.
Mita R Gordo's current location address is 2505 W Hammer Ln, Stockton, California. You can contact this provider via phone number 2099577050. The mailing address for Mita R Gordo is 2505 W Hammer Ln, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mita R Gordo |
|---|---|
| Address | 2505 W Hammer Ln, Stockton, California |
| Phone Number | 2099577050 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1619933553 |
|---|---|
| Provider Enumeration Date | 2006-04-20 |
| Last Updated Date | 2010-06-21 |
Provider Mailing Address Detail
| Address | 2505 W Hammer Ln |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952092839 |
| Phone Number | 2099577050 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | A54477 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A544770 | CA | -- |
Post Comment/ Review Below
What is the Mita R Gordo's 1619933553?
The Mita R Gordo's NPI (National Provider Identifier) Number is 1619933553. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mita R Gordo located?
The Mita R Gordo is located at 2505 W Hammer Ln, Stockton, CA 952092839.
What is Mita R Gordo's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mita R Gordo is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.
On what date did the Mita R Gordo receive the assignment of its 1619933553 from the Centers for Medicare & Medicaid Services?
The Mita R Gordo was issued its 1619933553 by the Centers for Medicare & Medicaid Services on 2006-04-20.
When was the information regarding Mita R Gordo, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mita R Gordo, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-06-21.