Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | F5731 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | L.3009SP | AL |
NPI | 1013152768 |
---|---|
Provider Name | Martin Cadeiras |
First Address | Los Angeles, CA 90095-0001 |
Second Address | Los Angeles, CA 90095-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2008 |
Last Update Date | 21/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01701561 | (05) | AL |
051596188 | BCBS (01) | AL |
051596189 | BCBS (01) | AL |
051596190 | BCBS (01) | AL |
1013152768 | (05) | CA |
108040 | (05) | AL |
109231 | (05) | AL |
109238 | (05) | AL |
P00725727 | RAILROAD MEDICARE (01) | AL |