Martin, Edward Alfred

Martin, Edward Alfred is an individual health care provider with primary practice located at 555 E Hardy St , Inglewood CA 90301-4011. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Martin, Edward Alfred can be contacted via phone (310) 673-4660.

Contact Information

Primary practice address
555 E Hardy St Inglewood CA 90301-4011
Phone: (310) 673-4660
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G68855 California
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X G68855 California
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X G68855 California

Profile Details

NPI number 1760426787
LBN Legal business name Martin, Edward Alfred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760426787 NPPES
California MEDICAID 00G688550
California Other 00G688550

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