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NPI Code Detail

MEDICARE: JAMES B MARTEL MD, INC.

MEDICARE: JAMES B MARTEL MD, INC.
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
1207W00000XOphthalmology PhysicianG60544CA

General Provider Information

NPI Number : 1457888000
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAMES B MARTEL MD, INC.
Provider Business Mailing Address
First Line : 11216 TRINITY RIVER DR
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95670-2968
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11216 TRINITY RIVER DR
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95670-2968
Country : US
Telephone Number : 916-635-6161
Fax Number :
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : JAMES B MARTEL
Credential : MD
Telephone Number : 916-635-6161
Provider Enumeration Date : 05/15/2017
Last Update Date : 05/15/2017

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