Individual
DAVID G MARTIN-REAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PUEBLO AT BATH STREET, SANTA BARBARA, CA 93105
(805) 569-7367
(805) 569-8354
Mailing address
9301 OAKDALE AVE, SUITE 300, CHATSWORTH, CA 91311-6595
(818) 718-9500
(818) 718-9507
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
M8817
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010143418
REGENCE BLUE SHIELD ID
ID
05
—
1184692923
—
CA
01
—
54577
BLUE CROSS OF ID
ID
05
—
806618300
—
ID
Enumeration date
03/09/2006
Last updated
05/02/2012
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