Martin Madrigal is a Medical in Montclair, California. Martin Madrigal practices all healthcare services and medical treatments related to Medical. The NPI Number for Martin Madrigal is 1043371636. The last update date is 2014-12-15.
Martin Madrigal's current location address is 5404 Moreno St, Montclair, California. You can contact this provider via phone number 9099494400 and fax number 9099494441. The mailing address for Martin Madrigal is 5404 Moreno St, Montclair, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martin Madrigal |
|---|---|
| Address | 5404 Moreno St, Montclair, California |
| Phone Number | 9099494400 |
| Fax Number | 9099494441 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1043371636 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2014-12-15 |
Provider Mailing Address Detail
| Address | 5404 Moreno St |
|---|---|
| City | Montclair |
| State | California (CA) |
| Post Code | 917631667 |
| Phone Number | 9099494400 |
| Fax Number | 9099494441 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA17142 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA17142 | CA | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Martin Madrigal by the Centers for Medicare & Medicaid Services?
The Martin Madrigal has been assigned the NPI (National Provider Identifier) 1043371636 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Martin Madrigal is geographically located?
The Martin Madrigal is physically situated at the following location: 5404 Moreno St, Montclair, CA, 917631667.
What is Martin Madrigal's area of expertise and its corresponding taxonomy classification?
The Martin Madrigal's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Martin Madrigal receive the assignment of its 1043371636 from the Centers for Medicare & Medicaid Services?
The Martin Madrigal was issued its 1043371636 by the Centers for Medicare & Medicaid Services on 2006-12-13.
When was the information pertaining to Martin Madrigal most recently updated or revised?
The details related to Martin Madrigal, including its address, specialty, and other relevant information, were last updated or revised on 2014-12-15.