Individual
SCOTT LUIS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
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
363AM0700X
Medical Physician Assistant
Primary
PA23218
CA
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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