Michael L Martin, MD | |
12401 Washington Blvd, Whittier, CA 90602-1006 | |
(562) 698-0811 | |
(818) 587-2493 |
Full Name | Michael L Martin |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 12401 Washington Blvd, Whittier, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740217447 | NPI | - | NPPES |
00G406080 | Medicaid | CA | |
00G406080 | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G40608 (California) | Primary |
Entity Name | Intercommunity Emergency Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871535286 PECOS PAC ID: 7911892534 Enrollment ID: O20040708000780 |
Mailing Address | Practice Location Address |
---|---|
Michael L Martin, MD Po Box 4419, Woodland Hills, CA 91365-4419 Ph: (800) 506-6895 | Michael L Martin, MD 12401 Washington Blvd, Whittier, CA 90602-1006 Ph: (562) 698-0811 |
Roger S Woodard, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 12401 Washington Blvd, Whittier, CA 90602 Phone: 562-698-0811 Fax: 818-587-2493 | |
Dr. Adrian Daniel Crisan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9080 Colima Rd, Whittier, CA 90605 Phone: 562-907-1565 Fax: 562-907-1585 | |
Dr. Douglas Paul Slabaugh, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9080 Colima Rd, Whittier, CA 90605 Phone: 562-907-1565 Fax: 562-907-1585 | |
Courtney Jane Hentzen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12401 Washington Blvd, Whittier, CA 90602 Phone: 562-698-0811 | |
Glen D Shook, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12401 Washington Blvd, Whittier, CA 90602 Phone: 562-698-0811 Fax: 818-587-2493 | |
Sofia Gambuto, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12401 Washington Blvd, Whittier, CA 90602 Phone: 562-698-0811 Fax: 562-945-5283 | |
Ian M Kramer, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 12401 Washington Blvd, Whittier, CA 90602 Phone: 562-698-0811 Fax: 818-587-2493 |