| Gordon Psychology Group, Pc | |
|
7545 Irvine Center Dr Ste 200 Irvine CA 92618-2933 | |
| (917) 324-8439 | |
| Not Available |
| Full Name | Gordon Psychology Group, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 7545 Irvine Center Dr Ste 200, Irvine, California |
| Authorized Official Name and Position | William Frederick Gordon (CEO/CLINICAL DIRECTOR) |
| Authorized Official Contact | 9173248439 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon Psychology Group, Pc 7545 Irvine Center Dr Ste 200 Irvine CA 92618-2933 Ph: (917) 324-8439 | Gordon Psychology Group, Pc 7545 Irvine Center Dr Ste 200 Irvine CA 92618-2933 Ph: (917) 324-8439 |
| NPI Number | 1093182255 |
|---|---|
| Provider Enumeration Date | 08/24/2015 |
| Last Update Date | 05/19/2021 |
| Certification Date | 05/19/2021 |
| Medicare PECOS PAC ID | 5092197889 |
|---|---|
| Medicare Enrollment ID | O20230512002434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093182255 | NPI | - | NPPES |
| Provider Name | William Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699003376 PECOS PAC ID: 0446391080 Enrollment ID: I20100105000502 |
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