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NPI Code Detail

MEDICARE: ANDREW J MARTIN M.D.

MEDICARE:   ANDREW J MARTIN  M.D.
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
12085R0202XDiagnostic Radiology PhysicianA70047CA

General Provider Information

NPI Number : 1104883693
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW J MARTIN M.D.
Provider Business Mailing Address
First Line : 2801 ATLANTIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90806
Country : US
Telephone Number : 562-933-1550
Fax Number : 562-933-8088
Provider Business Practice Location Address
First Line : 4301 W MARKHAM ST # 556
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72205-7101
Country : US
Telephone Number : 501-296-1095
Fax Number : 501-526-5919
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2006
Last Update Date : 01/21/2026

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Directions to “ ANDREW J MARTIN M.D.” Practice Location

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