IndividualActive
Brent Gordon, MD
NPI 1669480083 · Pediatric Cardiology Physician · San Diego, CA
Provider details
- NPI number
- 1669480083
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A85016 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3020 Childrens Way
San Diego, CA 92123-4223
Phone: (858) 966-5855
Approximate (ZIP-level) locationGet directions
Mailing address
3020 Childrens Way # Mc5003
San Diego, CA 92123-4223
Additional practice locations (1)
- 11234 Anderson St Rm 4433Loma Linda, CA 92354-2804Phone: (909) 558-4711Fax: (909) 558-0311
Registry dates
- Enumerated
- 2006-08-03
- Last updated
- 2022-07-13
- Certified
- 2022-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.