Search › California › 374U00000X
Melissa Gordon
NPI 1730719162 · on the registry since 2020 · sole proprietor
Practice
- Address
- 5518 S Manhattan Pl
Los Angeles, CA 90062 - Phone
- (323) 599-0269
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-11
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