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

Tanesha Gordon

Individual provider Rehabilitation Practitioner · NPI 1073124830

Tanesha Gordon is a Rehabilitation Practitioner in Culver City, California. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

9808 Venice Blvd Ste 700
Culver City, CA 90232-6824
Phone: (310) 945-3350
Fax: (310) 945-3356
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1073124830
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 13, 2020
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023

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