Dr Lowell Gordon, MD | |
661 W 1st St Ste G, Tustin, CA 92780-2939 | |
(714) 665-9890 | |
Not Available |
Full Name | Dr Lowell Gordon |
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Gender | Male |
Speciality | Pediatrics |
Location | 661 W 1st St Ste G, Tustin, 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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1548248065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 96-256 (New Mexico) | Secondary |
208000000X | Pediatrics | A44724 (California) | Primary |
Entity Name | Families Together Of Orange County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194122457 PECOS PAC ID: 7517268816 Enrollment ID: O20151210000638 |
Mailing Address | Practice Location Address |
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Dr Lowell Gordon, MD 3710 Lotus Dr, San Diego, CA 92106-1139 Ph: (505) 660-7197 | Dr Lowell Gordon, MD 661 W 1st St Ste G, Tustin, CA 92780-2939 Ph: (714) 665-9890 |
Dr. Beena Kazi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 14971 Holt Ave, Tustin, CA 92780 Phone: 949-356-7676 | |
Dr. Dawn L Bruner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13132 Newport Ave, 100, Tustin, CA 92780 Phone: 714-565-7960 Fax: 714-565-7982 | |
Paul Genser, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1451 Irvine Blvd, Tustin, CA 92780 Phone: 714-838-8878 | |
James P Morley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1451 Irvine Blvd, Tustin, CA 92780 Phone: 714-838-8878 Fax: 714-838-8988 | |
Dr. Norah Gutrecht, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13132 Newport Ave, 100, Tustin, CA 92780 Phone: 714-565-7960 Fax: 714-565-7982 | |
Dr. Ernest Daniel Mackey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13132 Newport Ave, 100, Tustin, CA 92780 Phone: 714-565-7960 Fax: 714-565-7982 | |
Dr. Michael Wayland Cater, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13132 Newport Ave, 100, Tustin, CA 92780 Phone: 714-565-7960 Fax: 714-565-7982 |