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General NPI Number Information
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NPI Number | 1275949638
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Entity Type | Organization
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Legal Business Name | MARTIN J BACKMAN MD MEDICAL CORPORATION
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 11180 WARNER AVE STE 259
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-7516
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Country | US
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Telephone | 714-540-1840
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Fax | 714-540-2319
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Provider Business Mailing Address
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Address Line | PO BOX 1449
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City | BREA
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State | CA
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Zip | 92822-1449
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Country | US
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Telephone | 714-996-1633
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Fax | 714-996-9267
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARTIN J BACKMAN
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Credential | M.D.
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Telephone | 714-540-1840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A44638
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License Number State | CA
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