Frederick Harold Martin in Los Angeles - Clinical
Frederick Harold Martin - NPI 1972680510
Frederick Harold Martin is a Clinical in Los Angeles, California. Frederick Harold Martin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Frederick Harold Martin is 1972680510. The last update date is 2007-07-08.
Frederick Harold Martin's current location address is 11301 Wilshire Blvd, Los Angeles, California. You can contact this provider via phone number 3104783711. The mailing address for Frederick Harold Martin is 11301 Wilshire Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Frederick Harold Martin |
|---|---|
| Address | 11301 Wilshire Blvd, Los Angeles, California |
| Phone Number | 3104783711 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1972680510 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11301 Wilshire Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900731003 |
| Phone Number | 3104783711 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | B1-0000500 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Frederick Harold Martin by the Centers for Medicare & Medicaid Services (CMS)?
The Frederick Harold Martin has been assigned the NPI (National Provider Identifier) 1972680510. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Frederick Harold Martin?
The Frederick Harold Martin is situated at 11301 Wilshire Blvd, in the city of Los Angeles, state of CA, with the zip code 900731003.
What is Frederick Harold Martin's specialized field of practice, and what is the corresponding taxonomy classification code?
The Frederick Harold Martin's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did Frederick Harold Martin receive its 1972680510 assignment from the Centers for Medicare & Medicaid Services?
The Frederick Harold Martin was assigned its 1972680510 on 2006-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Frederick Harold Martin most recently updated?
The details pertaining to the Frederick Harold Martin, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.