Gordon Juan is a Psychiatry in Berkeley, California. Gordon Juan practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Gordon Juan is 1366529174. The last update date is 2014-02-03.
Gordon Juan's current location address is 3282 Adeline St, Berkeley, California. You can contact this provider via phone number 5109815260 and fax number 5109815255. The mailing address for Gordon Juan is 3282 Adeline St, Berkeley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon Juan |
|---|---|
| Address | 3282 Adeline St, Berkeley, California |
| Phone Number | 5109815260 |
| Fax Number | 5109815255 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1366529174 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2014-02-03 |
Provider Mailing Address Detail
| Address | 3282 Adeline St |
|---|---|
| City | Berkeley |
| State | California (CA) |
| Post Code | 947032439 |
| Phone Number | 5109815260 |
| Fax Number | 5109815255 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | C38064 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gordon Juan by the Centers for Medicare & Medicaid Services?
The Gordon Juan has been issued the NPI (National Provider Identifier) 1366529174 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Gordon Juan is physically located?
The Gordon Juan is physically situated at the following address: 3282 Adeline St, Berkeley, CA, 947032439.
What is Gordon Juan'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 Gordon Juan is Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0800X.
On what date did Gordon Juan receive its 1366529174 assignment from the Centers for Medicare & Medicaid Services?
The Gordon Juan was assigned its 1366529174 on 2006-11-01, 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 Gordon Juan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gordon Juan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-02-03.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC