Jeffrey Andrew Van Gorder
Jeffrey Andrew Van Gorder is a Lodging Provider in LA Verne, California. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
6425 Canterwood RdLA Verne, CA 91750-1211
Phone: (909) 267-4342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Lodging Provider (primary) | Taxonomy 177F00000X |
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Record details
| NPI number | 1760290894 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 20, 2024 |
| Last updated in NPPES | December 20, 2024 |
| Certification date | December 20, 2024 |
| Mailing address | 6425 Canterwood Rd, La Verne, CA 91750-1211 |