Organization Active NPI

Leo a Gordon MD a Professional Corporation

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1790121622
Registry record updated May 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
LEO A GORDON MD A PROFESSIONAL CORPORATION
Practice address
8631 W 3Rd St
Suite 200E
Los Angeles, CA 90048-5901
Phone
(310) 423-1892
NPI assigned
May 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2013

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

Authorized official

Name
Leo A Gordon, MD
Title
Owner/President
Phone
(310) 423-1892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

8631 W 3Rd St
Suite 200E
Los Angeles, CA 90048-5901

Mailing address

8631 W 3Rd St
Suite 200E
Los Angeles, CA 90048-5901
Phone (310) 423-1892

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1368921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368921600000",
    "number": "1790121622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST",
            "address_2": "SUITE 200E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-423-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST",
            "address_2": "SUITE 200E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-423-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO A GORDON MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-19",
        "last_updated": "2013-05-19",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "310-423-1892",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2013; 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.