Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GORDON E VAN TASSELL, DO
ActiveDR. GORDON E VAN TASSELL, DO is a Family Medicine healthcare provider located in HOLLYWOOD, California. NPI 1104864024 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · HOLLYWOOD, CA
Registration Details
- NPI Number
- 1104864024
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 3, 2006 (20.015465161057 yrs)
- Last Updated
- Jul 8, 2007
- License
-
20A6929 (CA)
Practice Information
- Address
-
1300 N LA BREA AVEHOLLYWOOD, CA, 900287504Browse CA providers · Browse ZIP 90028
- Phone
- 3234641336
- Fax
- 3234642163
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in HOLLYWOOD, CA
| Name | Credential | NPI |
|---|---|---|
| DR. AWAD ANTHONY | M.D | 1811047830 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.