Individual provider · Type 1 NPI

Benjamin Stuart Gordon, PA-C

Medical Physician Assistant · Hemet, CA

NPI number 1821184078 Active

Practice location

950 N State St, Bldg B, Suite D & E
Hemet, CA 92543-1485

Call (951) 765-1777 Map

Fax (951) 765-1772

Mailing address

27699 Jefferson Ave, Suite 300
Temecula, CA 92590-2661

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA17205 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1821184078

Benjamin Stuart Gordon, PA-C's National Provider Identifier is 1821184078, issued on Oct 5, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hemet, CA. The record was last updated on Jul 8, 2007.