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Organization
MAGELLAN MEDICAL CORPORATION
Active
Organization
MAGELLAN MEDICAL CORPORATION
Active
Other names
GLENDORA EMERGENCY PHYSICIANS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC DAVID MARTINEZ M.D. (PRESIDENT)
(949) 922-2830
Entity
Organization
Contact information
Practice address
150 W ROUTE 66, GLENDORA, CA 91740-6207
(626) 852-5006
(626) 852-5007
Mailing address
PO BOX 4419, WOODLAND HILLS, CA 91365-4419
(818) 340-9988
(818) 587-2493
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
12/19/2007
Last updated
01/15/2008
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