Martin, Phillip Allan
Martin, Phillip Allan is an sole proprietor health care provider with primary practice located at 6425 Lynch Canyon Dr , Lake Isabella CA 93240-9726. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Martin, Phillip Allan can be contacted via phone (760) 379-8630.Contact Information
Primary practice address
6425 Lynch Canyon Dr
Lake Isabella CA 93240-9726
Phone: (760) 379-8630
Fax: (760) 379-7658
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G61763 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G61763 | California |
Profile Details
| NPI number | 1275580680 |
|---|---|
| LBN Legal business name | Martin, Phillip Allan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2006 |
| Last updated | Feb 20th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275580680 | NPPES |
| California | MEDICAID | 00G617630 |
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