Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | G48268 | CA |
N | 2080N0001X | Neonatal-Perinatal Doctor | G48268 | CA |
NPI | 1053423137 |
---|---|
Provider Name | Alma Marina Martinez |
First Address | San Francisco, CA 94120-7464 |
Second Address | San Francisco, CA 94110-3518 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G482680 | (05) | CA |
E95303 | (02) |