NPI 1144242645

Richard Kenneth Gordon, MD

Practitioner Specialist Northridge, CA

Practice location

Address: 8700 Reseda Blvd Suite 204, Northridge, CA 91324-4041
Phone: (818) 772-7090

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence G56286 (CA)

Other Specialist providers in California →

Registry record

NPI: 1144242645
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jul 2006
Record last updated: 13 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.