Individual
DR. MARTIN L CHARLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 SANTA FE DR, SUITE 204, ENCINITAS, CA 92024-5138
(760) 944-7300
(760) 634-6566
Mailing address
320 SANTA FE DR, STE 204, ENCINITAS, CA 92024-5179
(760) 944-7300
(760) 634-6566
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G64921
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G649210
MEDI-CAL #
CA
Enumeration date
03/08/2006
Last updated
03/17/2017
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