Individual
BEA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25405 HANCOCK AVE, SUITE 216, MURRIETA, CA 92562-5982
(951) 698-4600
(951) 514-2542
Mailing address
25405 HANCOCK AVE, SUITE 216, MURRIETA, CA 92562-5982
(951) 698-4600
(951) 514-2542
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
52239
CA
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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