MR. PETER MICHAEL GORDON


Address: 4030 E Broadway, Long Beach, CA 90803-1502
Phone: 5628269009

MR. PETER MICHAEL GORDON (NPI# 1932244662) 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) 1932244662
Entity Type Individual
Full Name MR. PETER MICHAEL GORDON
Credential MA - MFT
Practice Address 4030 E Broadway
Long Beach
CA 90803-1502
Mailing Address 3317 E Colorado St
Long Beach
CA 90814-2606
Practice Telephone 5628269009
Practice Fax Number 5629873538
Mailing Telephone 5628269009
Enumeration Date 2007-02-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
MFC39863 CA Behavioral Health & Social Service Providers

Other Providers PETER GORDON

NPI Name Taxonomy Address Enumeration
1568745677 Peter F Gordon Family Medicine Avenida Los Tules 116, Int 14, Colonia Diaz Ordaz, Puerto Vallarta, JALISCO 48310 2011-09-25
1154316230 Peter Eliot Gordon Emergency Medicine 218 Baltic St, Brooklyn, NY 11201-6620 2005-09-15
1558565085 Peter M Gordon Pediatrics 300 Longwood Ave, Boston, MA 02115-5724 2007-06-11
1093838856 Peter Gregory Gordon Internal Medicine 622 W 168th St, New York, NY 10032-3720 2007-04-09
1205956109 Peter Gordon Physical Therapist 349 W Commercial St, Ste 1275, E Rochester, NY 14445-2407 2007-04-02
1114070349 Peter G Gordon Dentist 23300 Chagrin Blvd, G-10, Beachwood, OH 44122-5557 2007-01-19
1568540342 Peter W. Gordon Internal Medicine 280 W Macarthur Blvd, Oakland, CA 94611-5642 2006-11-01
1679525141 Peter H Gordon Radiology 235 N Pearl St, Radiology Department, Brockton, MA 02301-1794 2006-05-16
1831158955 Peter T Gordon Internal Medicine 259 Main St, Yarmouth, ME 04096-6723 2006-03-18
1992706683 Peter Alfred Gordon Ophthalmology 1457 Scott Blvd, Decatur, GA 30030-1705 2005-08-03

Office Location

Street Address 4030 E BROADWAY
City LONG BEACH
State CA
Zip Code 90803-1502

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720283252 Amie Lowery-luyties Marriage & Family Therapist 4030 E Broadway, Long Beach, CA 90803-1502 2007-06-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568011377 Jand. Inc. Eyewear Supplier (Equipment, not the service) 6440 E. Pacific Coast Highway, Space B-165, Long Beach, CA 90803 2019-09-05
1518426931 Quashanika Marin Behavior Technician 55555 Anton Blvd, Costa Mesa, CA 90803 2019-03-15
1629569405 Shiori Koga Lange Social Worker 6615 E Pacific Coast Hwy Ste 225, Long Beach, CA 90803 2018-05-29
1083117832 Amos Hirsh Specialist/Technologist 3409 E 1st St., B, Long Beach, CA 90803 2018-03-16
1972029130 Lilia Bolgov Dietitian, Registered 3528 E 2nd St, Apt 1, Long Beach, CA 90803 2017-08-19
1669907523 Ashley Clary Substance Abuse Rehabilitation Facility 6621 Pacific Coast Highway, Long Beach, CA 90803 2017-04-27
1629438247 Victoria Nguyen Dental Corporation Dentist 6437 E. Pacific Coast Highway, Unit A-6, Long Beach, CA 90803 2016-02-24
1548633829 Anne Yeakel Chiropractor 6234 E Pacific Coast Hwy, Unit C, Long Beach, CA 90803 2015-11-09
1376921023 Lauren Katherine Mills Registered Nurse 6000 Bixby Village Drive #5, Long Beach, CA 90803 2015-05-14
1205173317 Richard Stuart Egan Otolaryngology 310 Blue Cavern Point, Long Beach, CA 90803 2013-01-09
Find all providers in zip 90803

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346851888 Summer V Vilkins Counselor 269 Kennebec Ave Apt 3, Long Beach, CA 90803-5772 2020-08-10
1346875085 Cherrie-ann K Simon Counselor 3503 Linden Ave Apt 207, Long Beach, CA 90807-4532 2020-03-03
1679119507 Melissa Ann Aguilar Counselor 20 W Park Ave Ste 306, Long Beach, NY 11561-2019 2019-11-26
1073154928 Makando Mutanda Counselor 161 West Victoria St., Long Beach, CA 90805 2019-10-02
1477104065 Sok Khen Kim Counselor 841 Gardenia Ave Apt 201, Long Beach, CA 90813-5935 2019-09-25
1174172431 Sari Klar Mental Health Counseling P.C. Counselor 370 W Broadway Apt 6y, Long Beach, NY 11561-3959 2019-09-10
1073175881 David Coleman Counselor 735 West 4th St, Unit D, Long Beach, CA 90802 2019-07-01
1265094155 Subha Smith Counselor 440 E Freeland St Apt 1, Long Beach, CA 90807-2128 2019-07-01
1750941688 Chanel Samantha Simpson Counselor 920 Atlantic Ave Ste 101, Long Beach, CA 90813-4592 2019-06-13
1801455696 Linda Dianne Ensch Counselor 1517 Pacific Ave N, Long Beach, WA 98631-3596 2019-06-06
Find all providers in LONG BEACH

Competitor

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City LONG BEACH
Zip Code 90803

Improve Information

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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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