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Angela Gordon — NPI 1376324228, Los Angeles, CA | NPI Central

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NPI 1376324228

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Angela Gordon

NPI 1376324228 · Driver · Los Angeles, CA

Provider details

NPI number: 1376324228
Entity type: Individual
Primary specialty: DriverOther Service Providers
Sex: Female
Sole proprietor: Yes
License: C4561135 (CA)

Specialties & taxonomies

DriverPrimary172A00000XLicense C4561135 (CA)
Other Service Providers

Practice location

5422 1/2 Ruthelen St

Los Angeles, CA 90062-2529

Phone: (323) 208-8597

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

5422 1/2 Ruthelen St

Los Angeles, CA 90062-2529

Registry dates

Enumerated: 2023-10-06
Last updated: 2023-10-06
Certified: 2023-10-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.