Jerry Martin in Los Angeles - Addiction (substance Use Disorder)
Jerry Martin - NPI 1588853709
Jerry Martin is a Addiction (substance Use Disorder) in Los Angeles, California. Jerry Martin practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jerry Martin is 1588853709. The last update date is 2007-10-24.
Jerry Martin's current location address is 2918 W Vernon Ave, Los Angeles, California. You can contact this provider via phone number 3234978150 and fax number 3232925543. The mailing address for Jerry Martin is 2918 W Vernon Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Martin |
|---|---|
| Address | 2918 W Vernon Ave, Los Angeles, California |
| Phone Number | 3234978150 |
| Fax Number | 3232925543 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1588853709 |
|---|---|
| Provider Enumeration Date | 2007-10-24 |
| Last Updated Date | 2007-10-24 |
Provider Mailing Address Detail
| Address | 2918 W Vernon Ave |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900084757 |
| Phone Number | 3234978150 |
| Fax Number | 3232925543 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jerry Martin by the Centers for Medicare & Medicaid Services?
The Jerry Martin has been assigned the NPI (National Provider Identifier) 1588853709 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Jerry Martin's physical address?
The Jerry Martin is physically located at 2918 W Vernon Ave, in the city of Los Angeles, CA, with the postal code 900084757.
What is Jerry Martin's area of expertise and its corresponding taxonomy classification?
The Jerry Martin's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1588853709 to Jerry Martin?
The Centers for Medicare & Medicaid Services assigned the 1588853709 to Jerry Martin on 2007-10-24.
As of what date were the Jerry Martin's details last updated?
The information pertaining to the Jerry Martin, including its address, specialty, and other details, was most recently updated on 2007-10-24.
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