Individual provider · Type 1 NPI
Earl Mark Gordon, MD
Nephrology Physician · Santa Monica, CA
NPI number
1053534925
Active
Practice location
2021 Santa Monica Blvd Ste 421E
Santa Monica, CA 90404-2144
Fax (310) 453-6620
Mailing address
2001 Santa Monica Blvd, Suite # 765 - W
Santa Monica, CA 90404-2102
Other practice locations
- 2001 Santa Monica Blvd, Suite # 765 - W, Santa Monica, CA 90404-2102 · (310) 453-4599
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nephrology Physician Primary | 207RN0300X | G 35140 (CA) |
Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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About NPI 1053534925
Earl Mark Gordon, MD's National Provider Identifier is 1053534925, issued on Apr 10, 2007. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Santa Monica, CA. The record was last updated on Nov 21, 2022.