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Organization
MARTIN S. COUSINEAU M.D. INC.
Active
Organization
MARTIN S. COUSINEAU M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN SHIELDS COUSINEAU (PRESIDENT)
(310) 557-0049
Entity
Organization
Contact information
Practice address
450 N ROXBURY DR STE 250, BEVERLY HILLS, CA 90210-4240
(310) 246-4628
Mailing address
9903 SANTA MONICA BLVD # 752, BEVERLY HILLS, CA 90212-1606
(310) 557-0049
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G50372
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G503720
—
CA
Enumeration date
05/22/2007
Last updated
08/22/2020
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