| Michael L Martin, MD | |
|
12401 Washington Blvd, Whittier, CA 90602-1006 | |
| (562) 698-0811 | |
| (818) 587-2493 |
| Full Name | Michael L Martin |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 12401 Washington Blvd, Whittier, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740217447 | NPI | - | NPPES |
| 00G406080 | Medicaid | CA | |
| 00G406080 | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | G40608 (California) | Primary |
| Entity Name | Intercommunity Emergency Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871535286 PECOS PAC ID: 7911892534 Enrollment ID: O20040708000780 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael L Martin, MD Po Box 4419, Woodland Hills, CA 91365-4419 Ph: (800) 506-6895 | Michael L Martin, MD 12401 Washington Blvd, Whittier, CA 90602-1006 Ph: (562) 698-0811 |
Roger S Woodard, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 12401 Washington Blvd, Whittier, CA 90602 Phone: 562-698-0811 Fax: 818-587-2493 | |
Dr. Adrian Daniel Crisan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9080 Colima Rd, Whittier, CA 90605 Phone: 562-907-1565 Fax: 562-907-1585 | |
Dr. Douglas Paul Slabaugh, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9080 Colima Rd, Whittier, CA 90605 Phone: 562-907-1565 Fax: 562-907-1585 | |
Courtney Jane Hentzen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12401 Washington Blvd, Whittier, CA 90602 Phone: 562-698-0811 | |
Glen D Shook, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12401 Washington Blvd, Whittier, CA 90602 Phone: 562-698-0811 Fax: 818-587-2493 | |
Ian M Kramer, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 12401 Washington Blvd, Whittier, CA 90602 Phone: 562-698-0811 Fax: 818-587-2493 | |
Dr. Harold M Sintov, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 9080 Colima Rd, Whittier, CA 90605 Phone: 562-907-1565 Fax: 562-907-1585 |