Individual
DR. MATTHEW JEFFREY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 SAN PABLO ST FL 7, LOS ANGELES, CA 90033-5313
(323) 442-6254
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-6254
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A82924
CA
2086S0102X
Surgical Critical Care Physician
Primary
A82924
CA
2086S0127X
Trauma Surgery Physician
A82924
CA
Other
Enumeration date
05/05/2006
Last updated
05/06/2022
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