Individual
DR. LESLIE MARIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(619) 471-9186
(619) 543-8255
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G079006
CA
208M00000X
Hospitalist Physician
Primary
G79006
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G790060
—
CA
Enumeration date
05/08/2006
Last updated
09/22/2017
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