Provider Demographics
NPI:1124134317
Name:MCLAREN, GORDON DOUGLAS (MD)
Entity type:Individual
Prefix:DR
First Name:GORDON
Middle Name:DOUGLAS
Last Name:MCLAREN
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:5901 E 7TH ST
Mailing Address - Street 2:HEMATOLOGY/ONCOLOGY SECTION (11/111-H)
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90822-5201
Mailing Address - Country:US
Mailing Address - Phone:562-826-8000
Mailing Address - Fax:562-826-5515
Practice Address - Street 1:5901 E 7TH ST
Practice Address - Street 2:HEMATOLOGY/ONCOLOGY SECTION (11/111-H)
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90822-5201
Practice Address - Country:US
Practice Address - Phone:562-826-8000
Practice Address - Fax:562-826-5515
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG84769207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA75661Medicare UPIN