Search › California › 2255A2300X
Bryce Gordon, ATC, MA, CES
NPI 1285289611 · on the registry since 2019
Practice
- Address
- 26242 Dimension Dr Ste 150
Lake Forest, CA 92630 - Phone
- (831) 332-8838
- Organisation at this address
- Sparkd Services Corporation
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 701 E Foothill Blvd, Azusa, CA
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Sex
- Male
- Record last updated
- 2021-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California