Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Evan Ross Gordon-Wollin, DO

Individual provider Internal Medicine Physician · NPI 1548616873

Evan Ross Gordon-Wollin, DO is an Internal Medicine in Santa Monica, California. Graduated from Western University of Health Sciences College of Dental Med in 2016, 10 years ago. Practices with Kansal Inc, an 18-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Trained at
Western University of Health Sciences College of Dental Med
Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1426 Montana Ave Ste 2
Santa Monica, CA 90403-1763
Phone: (310) 388-6798
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 20A16019 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1548616873
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 5, 2016
Last updated in NPPESJune 26, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolWESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated 2016 (10 years in practice)
Group practice Kansal Inc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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