Daniel Mark Gordon in San Luis Obispo - Addiction Psychiatry
Daniel Mark Gordon - NPI 1144342601
Daniel Mark Gordon is a Addiction Psychiatry in San Luis Obispo, California. Daniel Mark Gordon practices all healthcare services and medical treatments related to Addiction Psychiatry. The NPI Number for Daniel Mark Gordon is 1144342601. The last update date is 2007-07-08.
Daniel Mark Gordon's current location address is 620 California Blvd Ste P, San Luis Obispo, California. You can contact this provider via phone number 8055448709 and fax number 8055447809. The mailing address for Daniel Mark Gordon is 620 California Blvd Ste P, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel Mark Gordon |
|---|---|
| Address | 620 California Blvd Ste P, San Luis Obispo, California |
| Phone Number | 8055448709 |
| Fax Number | 8055447809 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1144342601 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 620 California Blvd Ste P |
|---|---|
| City | San Luis Obispo |
| State | California (CA) |
| Post Code | 934012590 |
| Phone Number | 8055448709 |
| Fax Number | 8055447809 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Psychiatry |
|---|---|
| Taxonomy | 2084P0802X |
| Licence No | G42749 |
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Definition: Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric d |
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Post Comment/ Review Below
What is the Daniel Mark Gordon's unique identification number?
The Daniel Mark Gordon has been assigned the NPI (National Provider Identifier) Number 1144342601 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Daniel Mark Gordon's facilities are situated?
The facilities of Daniel Mark Gordon are physically located at the following address: 620 California Blvd Ste P, San Luis Obispo, CA, 934012590.
What is the area of specialization for Daniel Mark Gordon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Daniel Mark Gordon is Addiction Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0802X.
On what date did the Centers for Medicare & Medicaid Services issue the 1144342601 to Daniel Mark Gordon?
The Daniel Mark Gordon received its 1144342601 assignment from the Centers for Medicare & Medicaid Services on 2007-04-04.
When was the Daniel Mark Gordon's information last updated?
The Daniel Mark Gordon's information was last updated on 2007-07-08.