Individual
DR. BRENT CHARLES MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23961 CALLE DE LA MAGDALENA, LAGUNA HILLS, CA 92653-3616
(949) 238-4100
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A145816
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A145816
CA
207NS0135X
Procedural Dermatology Physician
A145816
CA
Other
Enumeration date
04/19/2015
Last updated
03/12/2025
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