Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DANIEL MARK GORDON, M.D.
Active Sole ProprietorDANIEL MARK GORDON, M.D. is a Psychiatry & Neurology healthcare provider located in SAN LUIS OBISPO, California. NPI 1144342601 is currently active in the NPPES registry. Verify at CMS.
Psychiatry & Neurology · SAN LUIS OBISPO, CA
Registration Details
- NPI Number
- 1144342601
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 4, 2007 (19.388106040901 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
G42749 (CA)G42749 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
620 CALIFORNIA BLVD STE PSAN LUIS OBISPO, CA, 934012590Browse CA providers · Browse ZIP 93401
- Phone
- 8055448709
- Fax
- 8055447809
- Primary Specialty
-
Psychiatry & Neurology
2084P0802X
- Additional Specialty
- Psychiatry & Neurology
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.