person
Chanel Gordon, PA-C
Medical Physician Assistant in Beverly Hills, California
NPI 1760877666

Chanel Gordon is a Medical Physician Assistant based in Beverly Hills, CA and is specialized in Medical. Chanel Gordon practices in Beverly Hills, CA and has the professional credentials of PA-C. The NPI Number for Chanel Gordon is 1760877666 and holds a License No. PA52361 (California).

The current practice location address for Chanel Gordon is 8500 Wilshire Blvd, Beverly Hills, CA and can be reached out via phone at 310-855-7171 and via fax at 310-855-7262. You can also correspond with Chanel Gordon through the mailing address at 8500 WILSHIRE BLVD, BEVERLY HILLS, CA - 90211-3121 (mailing address contact number: 310-855-7171).

Location: 8500 Wilshire Blvd, Beverly Hills, CA, 90211-3121
person
Provider Profile Details
NPI Number
1760877666
Provider Name
Chanel Gordon
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
8500 Wilshire Blvd, Beverly Hills, CA, 90211-3121
Phone Number
310-855-7171
Fax Number
310-855-7262
Provider Enumeration Date
03/30/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1164815965 01 CA ORGANIZATION NPI
institution
Provider Business Practice Location Address Details
Address
8500 Wilshire Blvd
City
State
Zip
90211-3121
Phone Number
310-855-7171
Fax Number
310-855-7262
person
Provider Business Mailing Address Details
Address
8500 Wilshire Blvd
City
State
Zip
90211-3121
Phone Number
310-855-7171
Fax Number
310-855-7262
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA52361 (California)
Definition
Definition to come...
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