Healthcare Provider Details

I. General information

NPI: 1144547548
Provider Name (Legal Business Name): MARTINA REBECCA MEIER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2010
Last Update Date: 04/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 AIRPORT DR SUITE 230
TORRANCE CA
90505-6140
US

IV. Provider business mailing address

4228 INCE BLVD
CULVER CITY CA
90232-2605
US

V. Phone/Fax

Practice location:
  • Phone: 310-530-3800
  • Fax:
Mailing address:
  • Phone: 310-425-8989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberA92260
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: