Individual
JAMES RAY MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1400 S GRAND AVE, LOS ANGELES, CA 90015-3048
(213) 765-7500
(213) 765-7390
Mailing address
4161 REDONDO BEACH BLVD, SUITE 201, LAWNDALE, CA 90260-3306
(310) 214-8677
(310) 921-1718
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA11973
CA
Other
Enumeration date
05/15/2006
Last updated
07/08/2007
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