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NPI Code Detail

MEDICARE: MS. MARTHA A MCMAHON

MEDICARE: MS. MARTHA A MCMAHON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246Z00000XOther Specialist/TechnologistCA

General Provider Information

NPI Number : 1780524017
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARTHA A MCMAHON
Provider Business Mailing Address
First Line : 5826 E HUNTDALE ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90808-2718
Country : US
Telephone Number : 562-716-1370
Fax Number :
Provider Business Practice Location Address
First Line : 2801 ATLANTIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-1701
Country : US
Telephone Number : 562-933-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2026
Last Update Date : 03/30/2026

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Directions to “ MS. MARTHA A MCMAHON ” Practice Location

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