Melinda Piega Gordon, DMD is a
Dentist based in Lake Balboa, California. Melinda Piega Gordon is licensed to practice in California (license number 32605) and her current practice location is
16935 Vanowen St, Suite A, Lake Balboa, California. She can be reached at her office (for appointments etc.) via phone at
(818) 705-2931.
NPI number for Melinda Piega Gordon is 1750714119 and her current mailing address is 16935 Vanowen St, Suite A, Lake Balboa, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750714119.
Healthcare Provider's Profile
Full Name | Melinda Piega Gordon |
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Gender | Female |
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Speciality | Dentist |
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Location | 16935 Vanowen St, Lake Balboa, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750714119
- Provider Enumeration Date: 08/20/2013
- Last Update Date: 08/20/2013
Medical Identifiers
Medical identifiers for Melinda Piega Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750714119 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 32605 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Melinda Piega Gordon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Melinda Piega Gordon, DMD 16935 Vanowen St, Suite A, Lake Balboa, CA 91406-4595 Ph: (818) 705-2931 | Melinda Piega Gordon, DMD 16935 Vanowen St, Suite A, Lake Balboa, CA 91406-4595 Ph: (818) 705-2931 |
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