Provider Demographics
NPI:1164510855
Name:GORING, CHRISTOPHER GORDON (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:GORDON
Last Name:GORING
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 3129
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90510-3129
Mailing Address - Country:US
Mailing Address - Phone:310-792-3914
Mailing Address - Fax:855-898-4055
Practice Address - Street 1:3628 E IMPERIAL HWY STE 300
Practice Address - Street 2:
Practice Address - City:LYNWOOD
Practice Address - State:CA
Practice Address - Zip Code:90262-2646
Practice Address - Country:US
Practice Address - Phone:310-900-4788
Practice Address - Fax:310-900-4787
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2020-01-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC55914207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
022394C82Medicare PIN