Martin A. Gordon, M.D., A Medical Corporation

LBN: Martin A. Gordon, M.D., A Medical Corporation
Martin A. Gordon, M.D., A Medical Corporation is an health care organization with primary practice located at 1250 16Th St , Santa Monica CA 90404-1249. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Martin A. Gordon, M.D., A Medical Corporation can be contacted via phone (310) 471-5852, or through Gordon, Martin A. via phone (310) 471-5855.

Contact Information

Primary practice address
1250 16Th St Santa Monica CA 90404-1249
Phone: (310) 471-5852
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Martin A. Doctor of Medicine (MD)
Phone: (310) 471-5855

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X C38040 California

Profile Details

NPI number 1104966704
LBN Legal business name Martin A. Gordon, M.D., A Medical Corporation
DBA Doing business as
Authorized official Gordon, Martin A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Mar 20th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104966704 NPPES
California MEDICAID 00C380400

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