Theodora Gore, NURSE PRACTIONER - Registered Nurse in Los Angeles, CA

Theodora Gore, NURSE PRACTIONER is a Registered Nurse - Psychiatric/mental Health based in Los Angeles, California. Theodora Gore is licensed to practice in California (license number RN522355) and her current practice location is 4650 W Sunset Blvd # 53, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at (323) 361-7730.

NPI number for Theodora Gore is 1689897902 and her current mailing address is 1814 Armour Lane, Redondo Beach, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689897902.

Contact Information

Theodora Gore, NURSE PRACTIONER
4650 W Sunset Blvd # 53,
Los Angeles, CA 90027-6062
(323) 361-7730
Not Available

Map and Direction




Provider's Profile

Full NameTheodora Gore
GenderFemale
SpecialityRegistered Nurse - Psychiatric/mental Health
Location4650 W Sunset Blvd # 53, Los Angeles, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689897902
  • Provider Enumeration Date: 04/11/2007
  • Last Update Date: 10/11/2017

Medical Identifiers

Medical identifiers for Theodora Gore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689897902NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LW0102XNurse Practitioner - Women's Health RN522355 (California)Secondary
163WP0808XRegistered Nurse - Psychiatric/mental Health RN522355 (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. Theodora Gore 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 AddressPractice Location Address
Theodora Gore, NURSE PRACTIONER
1814 Armour Lane,
Redondo Beach, CA 90278

Ph: (310) 379-2106
Theodora Gore, NURSE PRACTIONER
4650 W Sunset Blvd # 53,
Los Angeles, CA 90027-6062

Ph: (323) 361-7730

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