| Martin S Fischer A Medical Corporation | |
|
4669 Arriba Dr Tarzana CA 91356-4825 | |
| (818) 705-3635 | |
| Not Available |
| Full Name | Martin S Fischer A Medical Corporation |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4669 Arriba Dr, Tarzana, California |
| Authorized Official Name and Position | Martin S Fischer (PHYSICIAN) |
| Authorized Official Contact | 8187053635 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin S Fischer A Medical Corporation 4669 Arriba Dr Tarzana CA 91356-4825 Ph: (818) 705-3635 | Martin S Fischer A Medical Corporation 4669 Arriba Dr Tarzana CA 91356-4825 Ph: (818) 705-3635 |
| NPI Number | 1902047152 |
|---|---|
| Provider Enumeration Date | 03/18/2009 |
| Last Update Date | 03/25/2009 |
| Medicare PECOS PAC ID | 3476610387 |
|---|---|
| Medicare Enrollment ID | O20090320000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902047152 | NPI | - | NPPES |
| 000G67830 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | G6783 (California) | Primary |
| Provider Name | Martin S Fischer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801892799 PECOS PAC ID: 4587721485 Enrollment ID: I20090320000136 |
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