Individual
DR. MARTIN N GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9401 WILSHIRE BLVD, SUITE 515, BEVERLY HILLS, CA 90212-2928
(310) 432-4260
Mailing address
9401 WILSHIRE BLVD, SUITE 515, BEVERLY HILLS, CA 90212-2928
(310) 432-4260
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G31316
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G313160
—
CA
Enumeration date
09/06/2006
Last updated
07/13/2015
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