Daniel Mark Gordon, MD | |
620 California Blvd Ste P, San Luis Obispo, CA 93401-2590 | |
(805) 544-8709 | |
(805) 544-7809 |
Full Name | Daniel Mark Gordon |
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Gender | Male |
Speciality | Psychiatry & Neurology - Addiction Psychiatry |
Location | 620 California Blvd Ste P, San Luis Obispo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1144342601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | G42749 (California) | Primary |
2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | G42749 (California) | Primary |
Entity Name | County Of Sacramento |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043386659 PECOS PAC ID: 0345231247 Enrollment ID: O20110801000770 |
Entity Name | El Hogar Community Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932286168 PECOS PAC ID: 4183881287 Enrollment ID: O20120201000296 |
Mailing Address | Practice Location Address |
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Daniel Mark Gordon, MD 620 California Blvd Ste P, San Luis Obispo, CA 93401-2590 Ph: (805) 544-8709 | Daniel Mark Gordon, MD 620 California Blvd Ste P, San Luis Obispo, CA 93401-2590 Ph: (805) 544-8709 |
Peter F. Afsari, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1039 Murray Ave Ste 220, San Luis Obispo, CA 93405 Phone: 805-250-2996 Fax: 805-250-2998 | |
Henry Abdel Malek, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Cmc At Highway 1, San Luis Obispo, CA 93409 Phone: 805-547-7900 | |
Dr. Daniel Wayne Olivieri, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 964 Chorro St, Suite 2, San Luis Obispo, CA 93401 Phone: 805-543-3232 Fax: 805-547-1772 | |
Barbara Jean Williams, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Hwy 1, Ca Mens Colony Psychiatry Dept, San Luis Obispo, CA 93409 Phone: 805-547-7900 | |
John Jacob Cannell, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1411 Marsh St Ste 203, San Luis Obispo, CA 93401 Phone: 805-439-2569 Fax: 805-439-1073 | |
Dr. Celeste Biancha Waters, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1025 Pacific St, San Luis Obispo, CA 93401 Phone: 805-543-2254 Fax: 805-464-0149 |