Martin, Dale Edward
Martin, Dale Edward is an individual health care provider with primary practice located at 5222 Balboa Ave Sixth Floor, San Diego CA 92117-6904. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Martin, Dale Edward can be contacted via phone (858) 292-5101.Contact Information
Primary practice address
5222 Balboa Ave Sixth Floor
San Diego CA 92117-6904
Phone: (858) 292-5101
Fax: (858) 292-0514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G52953 | California |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | G52953 | California |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | G52953 | California |
Profile Details
| NPI number | 1538108709 |
|---|---|
| LBN Legal business name | Martin, Dale Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | May 5th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538108709 | NPPES |
| California | Other | G52953 | CA STATE LICENSE |
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