JEFFREY ANDREW VAN GORDER
NPI 1760290894
Lodging in La Verne, CA
Active since December 20, 2024
About Jeffrey Andrew Van Gorder NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFREY ANDREW VAN GORDER (NPI 1760290894) is an individual lodging provider in La Verne, California and active in the NPI registry since December 2024.
NPPES Registry Identity
NPI1760290894
Entity TypeIndividualMale
Primary Taxonomy177F00000X
Provider Legal NameJEFFREY ANDREW VAN GORDER
Location Address6425 CANTERWOOD RDLa Verne, CA 91750-1211
Mailing Address6425 Canterwood RdLa Verne, CA 91750-1211 · (909) 267-4342
Phone(909) 267-4342
Sole ProprietorYes
Enumeration DateDecember 20, 2024
NPPES CertifiedDecember 20, 2024
✔ NPI 1760290894 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyLodgingOther Service Providers
Taxonomy Code177F00000X
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
6425 CANTERWOOD RD, La Verne, CA 91750
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760290894, enumerated as an "individual" on December 20, 2024.
The provider is located at 6425 CANTERWOOD RD LA VERNE, CA 91750 and the phone number is (909) 267-4342.
Lodging with taxonomy code 177F00000X.
