JONATHAN STANLEY GORDIN


Address: 200 Med Plaza, #365,420,120, Los Angeles, CA 90024-0001
Phone: 8188439020

JONATHAN STANLEY GORDIN (NPI# 1174840102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174840102
Entity Type Individual
Full Name JONATHAN STANLEY GORDIN
Credential M.D.
Practice Address 200 Med Plaza, #365,420,120
Los Angeles
CA 90024-0001
Mailing Address 5767 W Century Blvd Ste 400
Los Angeles
CA 90045-5631
Practice Telephone 8188439020
Mailing Telephone 3107949736
Enumeration Date 2010-04-30
Last Update Date 2018-07-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
A126076 CA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
Ucla Card A2 237 Chs Mc 167917, 650 Charles E Young Dr S, Los Angeles, CA 900950001 3107949736

Office Location

Street Address 200 MED PLAZA, #365,420,120
City LOS ANGELES
State CA
Zip Code 90024-0001

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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

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1861048613 Sam Dawkins Internal Medicine Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 2019-08-16
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1033415385 Southern California Cardiovascular Institute Apc Internal Medicine 1100 Wilshire Blvd, Suite 101, Los Angeles, CA 90017-1916 2011-02-03
1629244918 Edwin Aik Meng Lee Internal Medicine 1300 N Vermont Ave Ste 808, Los Angeles, CA 90027-6091 2008-05-06
1407065790 Christina Holly Economides Internal Medicine 1245 Wilshire Blvd Ste 703, Los Angeles, CA 90017-4807 2007-05-22
1245353952 Katrine A. Zhiroff Internal Medicine 12021 Wilmington Ave Ste 1000, Los Angeles, CA 90059-3019 2007-04-09
1659498004 Boyle Heights Cardiovascular Medical Group Inc Internal Medicine 1700 E Cesar E Chavez Ave Ste 1200, Los Angeles, CA 90033-2467 2007-03-23
1932239837 Nicholas N Dzebolo Internal Medicine 2105 Beverly Blvd Ste 111, Los Angeles, CA 90057-2252 2007-03-07
1881742831 Thomas C. Doerner Internal Medicine 1701 E Cesar E Chavez Ave Ste 403, Los Angeles, CA 90033-2425 2007-01-08
1972588622 Evan M Zahn Internal Medicine 127 S. San Vicente Blvd, Ahsp, A3600, Los Angeles, CA 90048 2005-12-14
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Competitor

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City LOS ANGELES
Zip Code 90024

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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