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Individual

MARTIN CADEIRAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 MEDICAL PLZ, 630, LOS ANGELES, CA 90095-0001
(310) 825-9011
Mailing address
100 MED PLZ, 630, LOS ANGELES, CA 90095-0001
(310) 825-9011

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
F5731
CA
207RC0000X
Cardiovascular Disease Physician
L.3009SP
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01701561
AL
01
051596188
BCBS
AL
01
051596189
BCBS
AL
01
051596190
BCBS
AL
05
1013152768
CA
05
108040
AL
05
109231
AL
05
109238
AL
01
P00725727
RAILROAD MEDICARE
AL
Enumeration date
12/10/2008
Last updated
09/21/2012
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