MEDICARE: MARTIN CHIROPRACTIC

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	111N00000X	Chiropractor	DC20693	CA

General Provider Information

NPI Number	:	1841303229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARTIN CHIROPRACTIC

Provider Business Mailing Address
First Line	:	13801 ROSWELL AVE STE F
Second Line	:
City	:	CHINO
State	:	CA
Zip	:	91710-5466
Country	:	US
Telephone Number	:	909-591-2525
Fax Number	:	909-464-9797

Provider Business Practice Location Address
First Line	:	13801 ROSWELL AVE STE F
Second Line	:
City	:	CHINO
State	:	CA
Zip	:	91710-5466
Country	:	US
Telephone Number	:	909-591-2525
Fax Number	:	909-464-9797

Authorized Official
Title or Position	:	PRESIDENT CHIROPRACTOR
Name	:	DR. DAVID L MARTIN
Credential	:	DC
Telephone Number	:	909-591-2525

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	06/25/2012

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Directions to “MARTIN CHIROPRACTIC ” Practice Location

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