Individual
GABRIEL ELIJAH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4196
(909) 558-4806
Mailing address
11234 ANDERSON ST RM A560, LOMA LINDA, CA 92354-2804
(909) 558-4196
(909) 558-4806
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
PTL10212
CA
Other
Enumeration date
05/04/2021
Last updated
03/16/2023
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