Individual
DR. CHRISTINA SOUTHER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 N VERMONT AVE, #704, LOS ANGELES, CA 90027
(310) 526-0290
(310) 526-0290
Mailing address
PO BOX 16162, BEVERLY HILLS, CA 90209
(310) 526-0290
(310) 526-0290
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
19658
HI
208600000X
Surgery Physician
Primary
A156794
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2013
Last updated
03/14/2025
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