Organization
MARTIN M NIELSEN MD A MED CORP
Active
Organization
MARTIN M NIELSEN MD A MED CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN M. NIELSEN M.D. (PRESIDENT)
(760) 758-7474
Entity
Organization
Contact information
Practice address
3231 WARING CT STE L, OCEANSIDE, CA 92056-4510
(760) 758-7474
(760) 758-7362
Mailing address
3231 WARING CT STE L, OCEANSIDE, CA 92056-4510
(760) 758-7474
(760) 758-7362
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G25528
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G255280
BLUE SHIELD
CA
05
—
00G255280
—
CA
Enumeration date
07/11/2006
Last updated
09/04/2015
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