Individual
JOHN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 MALL DR, HANFORD, CA 93230-5786
(559) 582-9000
(559) 537-1676
Mailing address
2100 POWELL ST STE 900, EMERYVILLE, CA 94608-1844
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G55088
CA
2083X0100X
Occupational Medicine Physician
G55088
CA
208D00000X
General Practice Physician
G55088
CA
Other
Enumeration date
12/27/2005
Last updated
11/01/2017
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