Gordon, Martin N

Gordon, Martin N is an individual health care provider with primary practice located at 9401 Wilshire Blvd Suite 515, Beverly Hills CA 90212-2928. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Gordon, Martin N can be contacted via phone (310) 432-4260.

Contact Information

Primary practice address
9401 Wilshire Blvd Suite 515 Beverly Hills CA 90212-2928
Phone: (310) 432-4260
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X G31316 California

Profile Details

NPI number 1447353313
LBN Legal business name Gordon, Martin N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Jul 13th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447353313 NPPES
California MEDICAID 00G313160

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