MEDICARE: JAMES RAY MARTIN P.A.

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
1	363AM0700X	Medical Physician Assistant	PA11973	CA

General Provider Information

NPI Number	:	1174574982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES RAY MARTIN P.A.

Provider Business Mailing Address
First Line	:	4161 REDONDO BEACH BLVD
Second Line	:	SUITE 201
City	:	LAWNDALE
State	:	CA
Zip	:	90260-3306
Country	:	US
Telephone Number	:	310-214-8677
Fax Number	:	310-921-1718

Provider Business Practice Location Address
First Line	:	1400 S GRAND AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90015-3048
Country	:	US
Telephone Number	:	213-765-7500
Fax Number	:	213-765-7390

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1437142981 — SOON R. CHUNG
Practice Location Address:

1400 S GRAND AVE , #100
LOS ANGELES, CA
90015-3048

Practice Phone: 213-746-4114
Practice Fax: 213-746-4465

1215921044 — MARC J. GIRSKY MD INC
Practice Location Address:

1400 S GRAND AVE , SUITE 615
LOS ANGELES, CA
90015-3048

Practice Phone: 213-748-0110
Practice Fax: 213-748-0160

1558348946 — DR. ARMAITY VAGHAIWALLA AUSTIN M.D, M.P.H, FAAFP
Practice Location Address:

1400 S GRAND AVE , SUITE 101
LOS ANGELES, CA
90015-3048

Practice Phone: 323-247-3727
Practice Fax:

1548231608 — BARNNY JEPP, LLC
Practice Location Address:

1400 S GRAND AVE , STE 105
LOS ANGELES, CA
90015-3048

Practice Phone: 213-867-1111
Practice Fax: 213-867-1117

1033163902 — JO MARIE R REILLY M.D.
Practice Location Address:

1400 S GRAND AVE , STE 101
LOS ANGELES, CA
90015-3048

Practice Phone: 213-744-0801
Practice Fax: 213-741-1423

1225078363 — GREGORY R. LEWIS M.D., F.A.A.F.P.
Practice Location Address:

1400 S GRAND AVE , SUITE 101
LOS ANGELES, CA
90015-3048

Practice Phone: 213-744-0801
Practice Fax:

Directions to “ JAMES RAY MARTIN P.A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.