MEDICARE: ALEX GORDON SHINDEL M.D.

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	207R00000X	Internal Medicine Physician	A130298	CA
2	207RG0100X	Gastroenterology Physician	A130298	CA

General Provider Information

NPI Number	:	1497013759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEX GORDON SHINDEL M.D.

Provider Business Mailing Address
First Line	:	8406 LA SIERRA AVE
Second Line	:
City	:	WHITTIER
State	:	CA
Zip	:	90605-1222
Country	:	US
Telephone Number	:	562-686-1796
Fax Number	:

Provider Business Practice Location Address
First Line	:	12291 WASHINGTON BLVD STE 201
Second Line	:
City	:	WHITTIER
State	:	CA
Zip	:	90606-2549
Country	:	US
Telephone Number	:	562-698-0306
Fax Number	:

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

Provider Enumeration Date	:	04/24/2012
Last Update Date	:	08/24/2019

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