Wild, Marta E

Wild, Marta E is an sole proprietor health care provider with primary practice located at 1301 Pine Ave , Long Beach CA 90813-3124. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Wild, Marta E can be contacted via phone (562) 595-1159.

Contact Information

Primary practice address
1301 Pine Ave Long Beach CA 90813-3124
Phone: (562) 595-1159
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X D0072863 Maryland
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X D0072863 Maryland
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 176524 California

Profile Details

NPI number 1659463305
LBN Legal business name Wild, Marta E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2006
Last updated Aug 23rd, 2023 - about 3 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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