EVAN ROSS GORDON-WOLLIN


Address: 1426 Montana Ave Ste 2, Santa Monica, CA 90403-1763
Phone: 3103886798

EVAN ROSS GORDON-WOLLIN (NPI# 1548616873) 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) 1548616873
Entity Type Individual
Full Name EVAN ROSS GORDON-WOLLIN
Credential D.O.
Practice Address 1426 Montana Ave Ste 2
Santa Monica
CA 90403-1763
Mailing Address Po Box 69446
West Hollywood
CA 90069-0446
Practice Telephone 3103886798
Mailing Telephone 3103886798
Enumeration Date 2016-05-05
Last Update Date 2019-06-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 20A16019 CA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1426 MONTANA AVE STE 2
City SANTA MONICA
State CA
Zip Code 90403-1763

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427520972 Isobel Gardner Marriage & Family Therapist 2730 Wilshire Boulevard #650, Santa Monica, CA 90403 2018-12-21
1477030369 Jennifer Garcia Dentist 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 2018-07-23
1215435847 The Balance Lab Physical Therapy and Fitness Physical Therapist 2924 Wilshire Blvd, Santa Monica, CA 90403 2018-01-29
1306354634 Sea Change Santa Monica, Lp Clinic/Center 1051 Princeton St, Santa Monica, CA 90403 2018-01-22
1114446226 Jafary Foot & Ankle Specialists LLC Podiatrist 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 2017-09-11
1023553906 Jory Faermark Speech-Language Pathologist 1158 26th Street, #417, Santa Monica, CA 90403 2016-12-30
1376095042 William Michael Thornton Chiropractor 2118 Wilshire Blvd, #577, Santa Monica, CA 90403 2016-10-28
1801251723 Lisa Lavoie Naturopath 1-935 Euclid St, Santa Monica, CA 90403 2015-12-18
1376915793 Lisa Hanes Marriage & Family Therapist 1150 Yale Street, Suite 2, Santa Monica, CA 90403 2015-10-25
1386015386 Natalie Kazarian Marriage & Family Therapist 2116 Wilshire Blvd Ste 241, Santa Monica, CA 90403 2015-10-15
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518438712 Providence Saint Johns Medical Foundation Internal Medicine 2020 Santa Monica Blvd Ste 300, Santa Monica, CA 90404-2013 2018-12-16
1770086464 Start Now Health, Inc. Internal Medicine 2128 Pier Ave, Santa Monica, CA 90405-6048 2018-03-09
1598128183 Alexandria Alarice Lee Internal Medicine 2020 Santa Monica Blvd Ste 210, Santa Monica, CA 90404-2139 2016-03-31
1720450117 Premier Health Partners of Santa Monica Internal Medicine 1260 15th St Ste 1415, Santa Monica, CA 90404-1135 2015-10-23
1912327651 Thomas Duy Vu Internal Medicine 1250 16th St Ste C2304, Santa Monica, CA 90404-1249 2014-04-21
1881936433 Amor Srikureja, M.d. A Medical Corporation Internal Medicine 2021 Santa Monica Blvd. Suite 540e, Santa Monica, CA 90404 2013-03-21
1235475013 George Ansbach Goldberg Internal Medicine 253 25th St, Santa Monica, CA 90402-2519 2012-12-23
1962752063 Richard Neil Eidinger Internal Medicine 318 14th St, Santa Monica, CA 90402-2114 2012-09-15
1124313820 Arpan Arun Patel Internal Medicine 1519 6th St Apt 501, Santa Monica, CA 90401-2532 2011-06-10
1740579994 Wendy Gu Internal Medicine 1260 15th St Ste 1502, Santa Monica, CA 90404-1135 2011-03-28
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Competitor

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City SANTA MONICA
Zip Code 90403

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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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