Dr. David Michael Gordon
Pediatrician
505 Parnassus Ave # M696 Box 0110
San Francisco
, California 94143-2204
Dr. David Michael Gordon
Pediatrician
505 Parnassus Ave # M696 Box 0110
San Francisco
, California 94143-2204
(415) 265-4843
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. David Michael Gordon
- 1200 Masonic Ave Apt 2
- San Francisco, CA
- Zip : 94117-2917
- Phone : (415) 265-4843
Second Address
- Dr. David Michael Gordon
- 505 Parnassus Ave # M696 Box 0110
- San Francisco, CA
- Zip : 94143-2204
- Phone : (415) 353-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | A108335 | CA |
National Provider Identifier
| NPI | 1003047408 |
|---|---|
| Provider Name | Dr. David Michael Gordon |
| First Address | San Francisco, CA 94117-2917 |
| Second Address | San Francisco, CA 94143-2204 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/08/2009 |
| Last Update Date | 03/08/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A108335 | STATE LICENSE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.