Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY ANDREW VAN GORDER
Active Sole ProprietorJEFFREY ANDREW VAN GORDER is a Lodging Provider healthcare provider located in LA VERNE, California. NPI 1760290894 is currently active in the NPPES registry. Verify at CMS.
Lodging Provider · LA VERNE, CA
Registration Details
- NPI Number
- 1760290894
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 20, 2024 (1.6635398461795 yrs)
- Last Updated
- Dec 20, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
6425 CANTERWOOD RDLA VERNE, CA, 917501211Browse CA providers · Browse ZIP 91750
- Phone
- 9092674342
- Primary Specialty
-
Lodging Provider
177F00000X
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.