Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Gordon J. Blacknell

Individual provider Rehabilitation Practitioner · NPI 1831229186

Mr. Gordon J. Blacknell is a Rehabilitation Practitioner in Los Angeles, California. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

12901 Venice Blvd
Los Angeles, CA 90066-3509
Phone: (310) 390-3611
Fax: (310) 390-4906
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1831229186
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 6, 2007
Last updated in NPPESJuly 8, 2007

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