Dale E Martin (NPI# 1538108709, PAC ID# 1153458708) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
Nation Provider ID (NPI) | 1538108709 |
PAC ID by PECOS | 1153458708 |
Professional Enrollment ID | I20100430000659 |
Full Name | Dale E Martin |
Organization Legal Name | SKIN SURGERY MEDICAL GROUP INC. |
Address |
5222 Balboa Ave Suite 6 San Diego CA 92117-6963 |
Phone Number | 6192925101 |
Gender | M |
Medical School | UNIVERSITY OF CALIFORNIA, CALIFORNIA COLLEGE OF MEDICINE |
Graduation Year | 1983 |
Primary Specialty | DERMATOLOGY |
Group Practice PAC ID | 4880683341 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
5222 Balboa Ave, Suite 6, San Diego, CA 92117-6963 | 6192925101 | SKIN SURGERY MEDICAL GROUP INC. |
Organization Legal Name | SKIN SURGERY MEDICAL GROUP INC. |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Leslie A Mark | Dermatology | Skin Surgery Medical Group Inc. | 5222 Balboa Ave, Suite 6, San Diego, CA 92117-6963 |
Barbara Martin | Dermatology | Skin Surgery Medical Group Inc. | 5222 Balboa Ave, Suite 6, San Diego, CA 92117-6963 |
Anne K Truitt | Dermatology | Skin Surgery Medical Group Inc. | 5222 Balboa Ave, Suite 6, San Diego, CA 92117-6963 |
Joseph Del Priore | Dermatology | Skin Surgery Medical Group Inc. | 5222 Balboa Ave, Suite 6, San Diego, CA 92117-6963 |
Street Address |
5222 BALBOA AVE SUITE 6 |
City | SAN DIEGO |
State | CA |
Zip | 92117-6963 |
Name | Specialty | Organization | Address |
---|---|---|---|
Leslie A Mark | Dermatology | Skin Surgery Medical Group Inc. | 5222 Balboa Ave, Suite 6, San Diego, CA 92117-6963 |
Barbara Martin | Dermatology | Skin Surgery Medical Group Inc. | 5222 Balboa Ave, Suite 6, San Diego, CA 92117-6963 |
Mahshid Michelle Hamidi | Family Medicine | 5222 Balboa Ave, Suite 31, San Diego, CA 92117-6952 | |
Anne K Truitt | Dermatology | Skin Surgery Medical Group Inc. | 5222 Balboa Ave, Suite 6, San Diego, CA 92117-6963 |
Walter H Jolley | Podiatry | 5222 Balboa Ave, Suite 41, San Diego, CA 92117-6905 | |
Raymond C Heung | Hematology/oncology | 5222 Balboa Ave, Suite 33, San Diego, CA 92117-6953 | |
Narikazu Ito | Chiropractic | 5222 Balboa Ave, Suite 23, San Diego, CA 92117-6950 | |
Joseph Del Priore | Dermatology | Skin Surgery Medical Group Inc. | 5222 Balboa Ave, Suite 6, San Diego, CA 92117-6963 |
Mahindokht Raiszadeh | General Practice | 5222 Balboa Ave, Suite 45, San Diego, CA 92117-6941 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lisa Graff-marsh | Clinical Social Worker | 4985 Park Rim Dr, San Diego, CA 92117-1721 | |
Ariel M Wauchope | Nurse Practitioner | Minuteclinic Diagnostic Medical Group of San Diego Inc | 4829 Clairemont Dr, San Diego, CA 92117-2706 |
John F King | Qualified Audiologist | 6230 Hannon Ct, San Diego, CA 92117-3327 | |
Ronald B Rook | Psychologist, Clinical | Concept Healthcare Psychology Group,inc. | 4901 Morena Blvd, Suite 109, San Diego, CA 92117-3370 |
Teresa Ann Krall | Psychologist, Clinical | Concept Healthcare Psychology Group,inc. | 4901 Morena Blvd, Suite 109, San Diego, CA 92117-3370 |
Eric Kung | Psychologist, Clinical | Concept Healthcare Psychology Group,inc. | 4901 Morena Blvd, Suite 109, San Diego, CA 92117-3370 |
Michael C Carroll | Psychologist, Clinical | Concept Healthcare Psychology Group,inc. | 4901 Morena Blvd, Suite 109, San Diego, CA 92117-3370 |
Althea V Wolaver | Clinical Psychologist | Concept Healthcare Psychology Group,inc. | 4901 Morena Blvd, San Diego, CA 92117-3370 |
Craig Leahy Dillman | Chiropractic | 4241 Jutland Dr, Suite 202, San Diego, CA 92117-3661 | |
Alan Blum | Chiropractic | 4241 Jutland Dr, Suite 202, San Diego, CA 92117-3661 | |
Find all physicians in zip 92117 |
City | SAN DIEGO |
Zip Code | 92117 |
Specialty | DERMATOLOGY |
City + Specialty | SAN DIEGO + DERMATOLOGY |
Please comment or provide details below to improve the information on Dale E Martin.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.