Edward Francis Gordon, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

9333 Issued in CA

Practice address

2812 Santa Monica Blvd
Suite 208
Santa Monica, CA 90404-2476

Phone

(310) 254-4117

Fax

(310) 828-3532

NPI assigned

Sep 29, 2008

Last updated

Sep 9, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1609026434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12304 SANTA MONICA BLVD",
            "address_2": "SUITE 111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252551",
            "telephone_number": "310-254-4117",
            "fax_number": "310-828-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 SANTA MONICA BLVD",
            "address_2": "SUITE 208",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042476",
            "telephone_number": "310-254-4117",
            "fax_number": "310-828-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "EDWARD",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-29",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "9333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Ross Gordon-Wollin, D.O.
• Alan T Gordon, LCSW
• Bruce R. Gordon, PH.D.
• Claire Gordon
• Earl Mark Gordon, M.D.
• Erlinda Maria Gordon, MD
• Jay N. Gordon, M.D., F.A.A.P.
• Martin A. Gordon, M.D.
• Rita Gordon, CNM
• Rebecca Gorin, LMFT

• Acupuncturist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.