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

Theodora Gore, NURSEPRACTIONER

Individual provider Women's Health Nurse Practitioner · NPI 1689897902

Theodora Gore, NURSEPRACTIONER is a Women's Health Nurse Practitioner in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
Specialties on file
2

Practice location Address checks out

4650 W Sunset Blvd # 53
Los Angeles, CA 90027-6062
Phone: (323) 361-7730
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence RN522355 (CA)
Women's Health Nurse Practitioner Taxonomy 363LW0102X · Licence RN522355 (CA)

Record details

NPI number1689897902
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTIONER
Sole proprietorYes
NPI enumeratedApril 11, 2007
Last updated in NPPESOctober 11, 2017

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