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Organization
TERRIN E. MARTIN, M.D., A MEDICAL CORP
Active
Organization
TERRIN E. MARTIN, M.D., A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRIN E MARTIN M.D. (PRESIDENT)
(310) 482-8550
Entity
Organization
Contact information
Practice address
1411 N DETROIT ST, #103, LOS ANGELES, CA 90046-4488
(310) 482-8550
Mailing address
1411 N DETROIT ST, #103, LOS ANGELES, CA 90046-4488
(310) 482-8550
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A99078
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A99078
STATE LICENSE
CA
Enumeration date
06/05/2008
Last updated
02/05/2012
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