Dr. Douglas Mark Gordon
Chiropractic Sports Physician
20700 Ventura Blvd. Ste. 130
Woodland Hills
, California 91364-6277
Dr. Douglas Mark Gordon
Chiropractic Sports Physician
20700 Ventura Blvd. Ste. 130
Woodland Hills
, California 91364-6277
(818) 206-9471
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Douglas Mark Gordon
- 20700 Ventura Blvd. Ste. 130
- Woodland Hills, CA
- Zip : 91364-6277
- Fax : (818) 206-9471
- Phone : (818) 345-2660
Second Address
- Dr. Douglas Mark Gordon
- 20700 Ventura Blvd. Ste. 130
- Woodland Hills, CA
- Zip : 91364-6277
- Fax : (818) 206-9471
- Phone : (818) 345-2660
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 23821 | CA |
National Provider Identifier
| NPI | 1255409512 |
|---|---|
| Provider Name | Dr. Douglas Mark Gordon |
| First Address | Woodland Hills, CA 91364-6277 |
| Second Address | Woodland Hills, CA 91364-6277 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/12/2006 |
| Last Update Date | 08/07/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U64732 | (02) | 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.