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Mark Martin
Student in an Organized Health Care Education/Training Program in West Covina, California
NPI 1922678697

Mark Martin is a Student in an Organized Health Care Education/Training Program based in West Covina, CA. Mark Martin practices in West Covina, CA. The NPI Number for Mark Martin is 1922678697 and holds a License No. (California).

The current practice location address for Mark Martin is 1135 S Sunset Ave Ste 401, West Covina, CA and can be reached out via phone at 626-732-8390.

Location: 1135 S Sunset Ave Ste 401, West Covina, CA, 91790-3096
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922678697
Provider Name
Mark Martin
Credential
Provider Entity Type
Individual
Gender
Male
Address
1135 S Sunset Ave Ste 401, West Covina, CA, 91790-3096
Phone Number
626-732-8390
Fax Number
Provider Enumeration Date
06/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1135 S Sunset Ave Ste 401
City
West Covina
State
California
Zip
91790-3921
Phone Number
626-732-8390
Fax Number
person
Provider Business Mailing Address Details
Address
1135 S Sunset Ave Ste 401
City
West Covina
State
California
Zip
91790-3921
Phone Number
626-732-8390
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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