Martin, Mark C

Martin, Mark C is an individual health care provider with primary practice located at 11370 Anderson St Suite 2100, Loma Linda CA 92354-3450. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Martin, Mark C can be contacted via phone (909) 558-2822.

Contact Information

Primary practice address
11370 Anderson St Suite 2100 Loma Linda CA 92354-3450
Phone: (909) 558-2822
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X A92834 California

Profile Details

NPI number 1962433813
LBN Legal business name Martin, Mark C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Jul 14th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962433813 NPPES
California MEDICAID 00A925340

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