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NPI Code Detail

MEDICARE: WILLIAM JOSHUA MARTIN MD

MEDICARE: WILLIAM JOSHUA MARTIN MD
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
1207R00000XInternal Medicine PhysicianML20008603WA
2207R00000XInternal Medicine PhysicianA107051CA
3207RR0500XRheumatology PhysicianA107051CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21174632970OTHERCACCS PANELED PROVIDER

General Provider Information

NPI Number : 1174632970
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM JOSHUA MARTIN MD
Provider Business Mailing Address
First Line : 2020 SANTA MONICA BLVD
Second Line : STE. 540
City : SANTA MONICA
State : CA
Zip : 90404-2023
Country : US
Telephone Number : 310-582-6350
Fax Number : 310-825-9482
Provider Business Practice Location Address
First Line : 2020 SANTA MONICA BLVD
Second Line : STE. 540
City : SANTA MONICA
State : CA
Zip : 90404-2023
Country : US
Telephone Number : 310-582-6350
Fax Number : 310-825-9482
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 10/02/2012

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Directions to “ WILLIAM JOSHUA MARTIN MD” Practice Location

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