Martin, Wendy S

Martin, Wendy S is an individual health care provider with primary practice located at 800 S Main St , Corona CA 92882. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Martin, Wendy S can be contacted via phone (909) 737-4343.

Contact Information

Primary practice address
800 S Main St Corona CA 92882
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G67880 California

Profile Details

NPI number 1083686695
LBN Legal business name Martin, Wendy S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 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 1083686695 NPPES
California MEDICAID 00G678800

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