Individual
MR. ANDREW JAMES MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN,APRN,CPNP,CCRN
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 997-3000
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 997-3000
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95021321
CA
Other
Enumeration date
06/16/2022
Last updated
08/07/2022
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