Organization
MARTIN A. O'TOOLE, MD, FACS, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN A O'TOOLE MD (PRESIDENT)
(626) 449-8910
Entity
Organization
Contact information
Practice address
542 S FAIR OAKS AVE, PASADENA, CA 91105-2606
(626) 449-8910
Mailing address
542 S FAIR OAKS AVE, PASADENA, CA 91105-2606
(626) 449-8910
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G67312
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G673120
—
CA
Enumeration date
12/16/2012
Last updated
12/16/2012
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