Individual
WILLIAM JOSHUA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 SANTA MONICA BLVD, STE. 540, SANTA MONICA, CA 90404-2023
(310) 582-6350
(310) 825-9482
Mailing address
2020 SANTA MONICA BLVD, STE. 540, SANTA MONICA, CA 90404-2023
(310) 582-6350
(310) 825-9482
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A107051
CA
207R00000X
Internal Medicine Physician
ML20008603
WA
207RR0500X
Rheumatology Physician
Primary
A107051
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174632970
CCS PANELED PROVIDER
CA
05
—
1174632970
—
CA
Enumeration date
08/29/2006
Last updated
10/02/2012
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