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Organization
MYRA C. MARTIN, M.D., APC
Active
Organization
MYRA C. MARTIN, M.D., APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRA MARTIN M.D. (PRESIDENT- SOLE OWNER)
(818) 888-7815
Entity
Organization
Contact information
Practice address
9449 SAN FERNANDO RD, SUN VALLEY, CA 91352-1421
(818) 252-2231
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A904109
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A904109
CA
Other
Enumeration date
11/21/2006
Last updated
07/16/2007
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