Organization
CEP AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT LUIS MARTIN MSPA (PHYSICIAN ASSISTANT)
(714) 401-6385
Entity
Organization
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1000
Mailing address
18846 SANTA BARBARA ST, FOUNTAIN VALLEY, CA 92708-6311
(714) 401-6385
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
08/31/2013
Last updated
08/31/2013
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