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Mark Lorry Gordon

Family Doctor - Geriatric Medicine Endocrinologist (Diabetes Doctor)

16661 Ventura Blvd Suite 716
Encino , California 91436-1914

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Mark Lorry Gordon

Family Doctor - Geriatric Medicine Endocrinologist (Diabetes Doctor)

16661 Ventura Blvd Suite 716
Encino , California 91436-1914

(818) 990-1166

Write a Review Save Call

Mark Lorry Gordon

Family Doctor - Geriatric Medicine Endocrinologist (Diabetes Doctor)

16661 Ventura Blvd Suite 716
Encino , California 91436-1914

(818) 990-1166 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor - Geriatric Medicine
  • Endocrinologist (Diabetes Doctor)

Languages spoken

  • English

Location

16661 Ventura Blvd Suite 716 Encino , California 91436-1914

First Address

  • Mark Lorry Gordon
  • 16661 Ventura Blvd Suite 716
  • Encino, CA
  • Zip : 91436-1914
  • Phone : (818) 990-1166

Second Address

  • Mark Lorry Gordon
  • 16661 Ventura Blvd Suite 716
  • Encino, CA
  • Zip : 91436-1914
  • Phone : (818) 990-1166

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FAQs


Where did Mark Lorry Gordon attend graduate school?

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Where did Mark Lorry Gordon do his residency?

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Where did Mark Lorry Gordon do his fellowship?

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Is Mark Lorry Gordon board certified?

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In what state does Mark Lorry Gordon practice in?

California

Where is Mark Lorry Gordon ’s practice located?

16661 Ventura Blvd Suite 716 , Encino, California, 91436-1914

What is Mark Lorry Gordon ’s gender?

Male

Is Mark Lorry Gordon a sole practitioner?

No

Is Mark Lorry Gordon accepting new patients?

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What languages does Mark Lorry Gordon speak?

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Does Mark Lorry Gordon accept insurance?

Yes, Mark Lorry Gordon accepts insurance

Does Mark Lorry Gordon offers telemedicine?

Mark Lorry Gordon has not indicated if he offers telemedicine

What is Mark Lorry Gordon ’s professional license number?

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What is Mark Lorry Gordon ’s NPI number?

1306987946

Does Mark Lorry Gordon have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207QG0300X Family Doctor - Geriatric Medicine A041223 CA
N 207RE0101X Endocrinologist (Diabetes Doctor) A41223 CA

National Provider Identifier

NPI 1306987946
Provider Name Mark Lorry Gordon
First Address Encino, CA 91436-1914
Second Address Encino, CA 91436-1914
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 08/02/2007
Last Update Date 08/07/2007

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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