Individual provider · Type 1 NPI

Maureen Fulchiero Gordon, MD

Child & Adolescent Psychiatry Physician · Los Angeles, CA

NPI number 1659406361 Active

Practice location

11980 San Vicente Blvd, #704
Los Angeles, CA 90049-5012

Call (310) 826-2664 Map

Fax (310) 395-2046

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800XA24979 (CA)
Child & Adolescent Psychiatry Physician Primary 2084P0804XA24979 (CA)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1659406361

Maureen Fulchiero Gordon, MD's National Provider Identifier is 1659406361, issued on Feb 22, 2007. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 11, 2025.