GORDON KIRKUP


Address: 838 N Mariposa Ave Apt 3, Los Angeles, CA 90029-3441
Phone: 3232826119

GORDON KIRKUP (NPI# 1225426406) 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) 1225426406
Entity Type Individual
Full Name GORDON KIRKUP
Practice Address 838 N Mariposa Ave Apt 3
Los Angeles
CA 90029-3441
Practice Telephone 3232826119
Mailing Telephone 3232826119
Enumeration Date 2014-12-22
Last Update Date 2014-12-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251G0304X Physical Therapist
Specialization: Geriatrics
14984 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 838 N MARIPOSA AVE APT 3
City LOS ANGELES
State CA
Zip Code 90029-3441

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Taxonomy Information

Taxonomy Code 2251G0304X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Geriatrics

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90029

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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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