Individual provider · Type 1 NPI

Angela Lashawn Gordon

Driver · Los Angeles, CA

NPI number 1376324228 Active

Practice location

5422 1/2 Ruthelen St
Los Angeles, CA 90062-2529

Call (323) 208-8597 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XC4561135 (CA)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1376324228

Angela Lashawn Gordon's National Provider Identifier is 1376324228, issued on Oct 6, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 6, 2023.