Peter J Martin, MD | |
4647 Zion Ave, San Diego, CA 92120-2507 | |
(619) 528-5000 | |
Not Available |
Full Name | Peter J Martin |
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Gender | Male |
Speciality | Otolaryngology - Plastic Surgery Within The Head & Neck |
Location | 4647 Zion Ave, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1801944897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | G58890 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
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Peter J Martin, MD 4647 Zion Ave, San Diego, CA 92120-2507 Ph: (619) 528-5000 | Peter J Martin, MD 4647 Zion Ave, San Diego, CA 92120-2507 Ph: (619) 528-5000 |
Dr. Jesse Raia Qualliotine, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 | |
Sapideh Gilani, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr # Mc8895, Division Of Otolaryngology Ucsd, San Diego, CA 92103 Phone: 619-543-7895 | |
Dr. Sassan Alavi, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 3023 Bunker Hill St, Suite 204, San Diego, CA 92109 Phone: 858-483-0690 | |
Dr. Kevin Thomas Brumund, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr Dept 8895, San Diego, CA 92103 Phone: 619-543-5910 Fax: 619-543-5521 | |
Pierre G. Rivet, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 4033 3rd Ave, Suite 104, San Diego, CA 92103 Phone: 619-294-2350 Fax: 619-296-5719 | |
Ronald T. Benz, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 10243 Genetic Center Dr, San Diego, CA 92121 Phone: 858-526-6136 Fax: 858-526-6117 | |
Dr. Jeffrey Watson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3350 La Jolla Village Dr, M/c 9112-c, San Diego, CA 92161 Phone: 858-642-3637 |