| NPI | 1811205545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD K GORDON Owner 818-772-7090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G56286) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2011-01-13 |