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Organization
MARTIN A. GORDON, M.D., A MEDICAL CORPORATION
Active
Organization
MARTIN A. GORDON, M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN A. GORDON M.D. (OWNER)
(310) 471-5855
Entity
Organization
Contact information
Practice address
1250 16TH ST, SANTA MONICA, CA 90404-1249
(310) 471-5852
Mailing address
11999 SAN VICENTE BLVD, #440, LOS ANGELES, CA 90049-5131
(310) 471-5852
(310) 471-3958
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C38040
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C380400
—
CA
Enumeration date
02/06/2007
Last updated
03/20/2009
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