Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | G59728 | CA |
N | 207ND0101X | MOHS-Micrographic Surgeon | G59728 | CA |
N | 207NS0135X | Procedural Dermatology | G59728 | CA |
NPI | 1093754145 |
---|---|
Provider Name | Dr. Barbara Elaine Martin |
First Address | San Diego, CA 92117-6904 |
Second Address | San Diego, CA 92117-6904 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 05/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E75083 | (02) | CA |
G59728 | CA STATE LICENSE (01) | CA |