MEDICARE: DR. CHRISTOPHER GORDON GORING MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	C55914	CA

General Provider Information

NPI Number	:	1164510855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER GORDON GORING MD

Provider Business Mailing Address
First Line	:	PO BOX 3129
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90510-3129
Country	:	US
Telephone Number	:	310-792-3914
Fax Number	:	855-898-4055

Provider Business Practice Location Address
First Line	:	3628 E IMPERIAL HWY STE 300
Second Line	:
City	:	LYNWOOD
State	:	CA
Zip	:	90262-2646
Country	:	US
Telephone Number	:	310-900-4788
Fax Number	:	310-900-4787

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	01/17/2020

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