# WAYNE H. MARTIN, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770749525
- **Authorized official:** WAYNE H. MARTIN M.D. (PRESIDENT)
- **Authorized official phone:** (909) 860-6768

## Contact information

- **Practice address:** 1111 GRAND AVE, SUITE A, DIAMOND BAR, CA 91765-4171
- **Practice address phone:** (909) 860-6768
- **Practice address fax:** (909) 860-4224
- **Mailing address:** 1111 GRAND AVE, SUITE A, DIAMOND BAR, CA 91765-4171
- **Mailing address phone:** (909) 860-6768
- **Mailing address fax:** (909) 860-4224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2008
- **Last updated:** 10/09/2009