Individual
MARTIN JOSEPH FEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 SUPERIOR AVE STE 200B, NEWPORT BEACH, CA 92663
(949) 791-3001
Mailing address
510 SUPERIOR AVE STE 200B, NEWPORT BEACH, CA 92663-3665
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G72509
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G725090
BLUE SHIELD
CA
05
—
00G725091
—
CA
01
—
330527574
BLUE CROSS
CA
Enumeration date
01/20/2006
Last updated
09/12/2018
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