Gorden, Christy Lee
Gorden, Christy Lee is an individual health care provider with primary practice located at 33353 Yucaipa Blvd , Yucaipa CA 92399-2018. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gorden, Christy Lee can be contacted via phone (909) 790-7900.Contact Information
Primary practice address
33353 Yucaipa Blvd
Yucaipa CA 92399-2018
Phone: (909) 790-7900
Fax: (909) 790-7058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G42484 | California |
Profile Details
| NPI number | 1275637282 |
|---|---|
| LBN Legal business name | Gorden, Christy Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275637282 | NPPES |
| California | Other | G42484 | MEDICAL BOARD OF CA |
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