Individual
MARTHA G VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD.
Contact information
Practice address
711 W. COLLEGE STREET, M88, LOS ANGELES, CA 90012
(213) 808-1792
(213) 680-9427
Mailing address
711 W. COLLEGE STREET, M88, LOS ANGELES, CA 90012
(213) 808-1792
(213) 680-9427
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A78069
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A780690
—
CA
Enumeration date
10/12/2006
Last updated
02/12/2026
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