Gordon, Jeoffry Bruce

Gordon, Jeoffry Bruce is an individual health care provider with primary practice located at 1947 Cable St , San Diego CA 92107-2807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gordon, Jeoffry Bruce can be contacted via phone (619) 223-7164.

Contact Information

Primary practice address
1947 Cable St San Diego CA 92107-2807
Phone: (619) 223-7164
Fax: (619) 223-5443
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G19279 California

Profile Details

NPI number 1649263682
LBN Legal business name Gordon, Jeoffry Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Mar 7th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649263682 NPPES
California MEDICAID 00G192790
California Other G19279

Popular Providers