| Carl J Gordon, M D INC | |
|
6360 Wilshire Blvd, Suite 409, Los Angeles, CA 90048-5603 | |
| (323) 931-2606 | |
| (323) 931-2927 |
| Full Name | Carl J Gordon |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 6360 Wilshire Blvd, Los Angeles, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528175007 | NPI | - | NPPES |
| 000G95921 | Medicaid | CA | |
| G9592 | Other | CA | PROVIDER NUMBER |
| 952910439 | Other | CA | EMPLOYER I.D. |
| 000G95920 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | G9592 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Carl J Gordon, M D INC 6360 Wilshire Blvd, Suite 409, Los Angeles, CA 90048-5603 Ph: (323) 931-2606 | Carl J Gordon, M D INC 6360 Wilshire Blvd, Suite 409, Los Angeles, CA 90048-5603 Ph: (323) 931-2606 |
Victoria Li-ting Tseng, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 200 Stein Plaza #1-340, Los Angeles, CA 90095 Phone: 310-825-5000 | |
Peter Dentone, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 200 Stein Plaza #1-340, Los Angeles, CA 90095 Phone: 310-825-5000 | |
Michael Myung-sup Han, Ophthalmology Medicare: Medicare Enrolled Practice Location: 1450 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-6335 Fax: 714-456-8874 | |
Kristin Elizabeth Nesburn, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8635 W 3rd Street, #390w, Los Angeles, CA 90048 Phone: 310-652-1133 Fax: 310-652-4353 | |
Dr. Stanley S. Kim, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 3663 W 6th St, Suite #200, Los Angeles, CA 90020 Phone: 213-385-8500 Fax: 213-385-4896 | |
Homayoun Tabandeh, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1245 Wilshire Blvd, 380, Los Angeles, CA 90017 Phone: 213-483-8810 Fax: 213-481-1503 | |
Arnold Barron, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 4733 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-4011 |