Dale Edward Martin in San Diego - Procedural Dermatology

Dale Edward Martin - NPI 1538108709

Dale Edward Martin is a Procedural Dermatology in San Diego, California. Dale Edward Martin practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Dale Edward Martin is 1538108709. The last update date is 2008-05-05.

Dale Edward Martin's current location address is 5222 Balboa Ave, San Diego, California. You can contact this provider via phone number 8582925101 and fax number 8582920514. The mailing address for Dale Edward Martin is 5222 Balboa Ave, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Dale Edward Martin
Address 5222 Balboa Ave, San Diego, California
Phone Number 8582925101
Fax Number 8582920514
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1538108709
Provider Enumeration Date 2006-06-05
Last Updated Date 2008-05-05

Provider Mailing Address Detail

Address 5222 Balboa Ave
City San Diego
State California (CA)
Post Code 921176904
Phone Number 8582925101
Fax Number 8582920514

Provider's Primary Taxonomy Detail

Speciality Procedural Dermatology
Taxonomy 207Ns0135X
Licence No G52953
Definition:
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
G52953 CA CA STATE LICENSE

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FAQs about Dale Edward Martin

What is the unique identification code assigned to Dale Edward Martin by the Centers for Medicare & Medicaid Services?

The Dale Edward Martin has been issued the NPI (National Provider Identifier) 1538108709. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Dale Edward Martin is located?

The Dale Edward Martin is situated at the following address: 5222 Balboa Ave, San Diego, CA, 921176904.

What is Dale Edward Martin's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Dale Edward Martin is Procedural Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207Ns0135X.

On what date did Dale Edward Martin receive its 1538108709 assignment from the Centers for Medicare & Medicaid Services?

The Dale Edward Martin was assigned its 1538108709 on 2006-06-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

On what date did the Centers for Medicare & Medicaid Services assign the 1538108709 to Dale Edward Martin?

The Centers for Medicare & Medicaid Services assigned the 1538108709 to Dale Edward Martin on 2006-06-05.

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