MARK C MARTIN M.D. NPI 1962433813

NPI Information

Mark C Martin, M.D. is a plastic and reconstructive surgery surgery in Loma Linda, CA with 28 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Mark C Martin, M.D. NPI is 1962433813. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11370 ANDERSON ST
SUITE 2100
LOMA LINDA, CA
ZIP 92354-450
Phone: (909) 558-2822

The NPI 1962433813 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 7/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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