APT, GINDI, GORDON & KERMAN, M.D.'S, INC.

Provider Demographics

• NPI: 1427027143
• Name: APT, GINDI, GORDON & KERMAN, M.D.'S, INC.
• Entity Type: Organization
• Organization Name: APT, GINDI, GORDON & KERMAN, M.D.'S, INC.
• Other - Org Name: CENTURY CITY EYE MEDICAL GROUP, INC.
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: PRESIDENT
• Authorized Official - Prefix: DR
• Authorized Official - First Name: KENNETH
• Authorized Official - Middle Name: L
• Authorized Official - Last Name: GORDON
• Authorized Official - Credentials: MD
• Authorized Official - Phone: 310-277-2727
• Mailing Address - Street 1: 2080 CENTURY PARK EAST
• Mailing Address - Street 2: SUITE 800
• Mailing Address - City: LOS ANGELES
• Mailing Address - State: CA
• Mailing Address - Zip Code: 90067-2011
• Mailing Address - Country: US
• Mailing Address - Phone: 310-277-2727
• Mailing Address - Fax: 310-553-2135
• Practice Address - Street 1: 2080 CENTURY PARK EAST
• Practice Address - Street 2: SUITE 800
• Practice Address - City: LOS ANGELES
• Practice Address - State: CA
• Practice Address - Zip Code: 90067-2011
• Practice Address - Country: US
• Practice Address - Phone: 310-277-2727
• Practice Address - Fax: 310-553-2135
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-03-15
• Last Update Date: 2008-05-15

Provider Licenses

State	License ID	Taxonomies
CA	G50780 AND C36598	207W00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207W00000X	Allopathic & Osteopathic Physicians	Ophthalmology		Group - Single Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
CA	10019	Other	K. L. GORDON M.D. MES #
CA	33106001	Other	K.L. GORDON -DAVIS VISION
CA	G2080558723895	Other	K. L. GORDON M.D. VSP #
CA	P-11051496	Other	K.L. GORDON MULTI-PLAN #
CA	GR0071730	Medicaid
CA	G2080559685654	Other	J. J. GINDI M.D. VSP #
CA	00C365980	Other	K.L. GORDON M.D. BL/SHLD
CA	00G210610	Other	J.J. GINDI BLUE SHIELD #
CA	26923	Other	SPECTERA GROUP PROVIDER #
CA	891994	Other	J. J. GINDI BLOCK VISION
CA	CA0783	Other	EYE MED PROVIDER #
CA	10018	Other	J.J. GINDI, M.D. MES #
CA	33106000	Other	J.J. GINDI - DAVIS VISION
CA	891978	Other	K.L. GORDON BLOCK VISION
CA	00G210610	Other	J.J. GINDI BLUE SHIELD #
CA	P-11051496	Other	K.L. GORDON MULTI-PLAN #
CA	10018	Other	J.J. GINDI, M.D. MES #
CA	W13878	Medicare ID - Type Unspecified	MEDICARE GROUP PROVIDER #
CA	33106001	Other	K.L. GORDON -DAVIS VISION
CA	G2080559685654	Other	J. J. GINDI M.D. VSP #