Martha Ann Cody in San Dimas - Physician Assistant
Martha Ann Cody - NPI 1609814888
Martha Ann Cody is a Physician Assistant in San Dimas, California. Martha Ann Cody practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Martha Ann Cody is 1609814888. The last update date is 2019-10-28.
Martha Ann Cody's current location address is 180 Via Verde, San Dimas, California. You can contact this provider via phone number 6264470296 and fax number 6266231227. The mailing address for Martha Ann Cody is 180 Via Verde, San Dimas, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martha Ann Cody |
|---|---|
| Address | 180 Via Verde, San Dimas, California |
| Phone Number | 6264470296 |
| Fax Number | 6266231227 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1609814888 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2019-10-28 |
Provider Mailing Address Detail
| Address | 180 Via Verde |
|---|---|
| City | San Dimas |
| State | California (CA) |
| Post Code | 917733993 |
| Phone Number | 6264470296 |
| Fax Number | 6266231227 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA18400 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA18400 | CA | -- |
Post Comment/ Review Below
Could you share the physical location details of Martha Ann Cody?
The Martha Ann Cody is situated at 180 Via Verde, in the city of San Dimas, state of CA, with the zip code 917733993.
What is Martha Ann Cody's area of expertise and its corresponding taxonomy classification?
The Martha Ann Cody's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
What is Martha Ann Cody's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Martha Ann Cody is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609814888 to Martha Ann Cody?
The Centers for Medicare & Medicaid Services originally issued the 1609814888 to Martha Ann Cody on 2006-06-02.
As of what date were the details pertaining to Martha Ann Cody last refreshed?
The information related to the Martha Ann Cody, including its address, specialty, and other relevant details, was last updated on 2019-10-28.
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