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Organization
MARTIN LAWRENCE GORDON MD INC
Active
Organization
MARTIN LAWRENCE GORDON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN L GORDON M.D. (SOLE OWNER)
(800) 883-7243
Entity
Organization
Contact information
Practice address
2400 S FLOWER ST, LOS ANGELES, CA 90007-2629
(213) 742-1000
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A25996
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A25996
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A259962
—
CA
Enumeration date
07/08/2006
Last updated
04/11/2011
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