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Search › California › 101Y00000X

Maynard Martin

NPI 1588246193 · on the registry since 2021

Practice

Address
3939 Atlantic Ave Ste 102
Long Beach, CA 90807
Phone
(562) 350-9346
Fax
(562) 473-0825
Organisation at this address
Roots, Inc.
Luz Azul Psych
Roots Tms, Llc
Sandra Michelle Hardy
Call Of Mental Healing
Inferred from a shared address, not stated in the registry.
Clinicians at this address
102

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-04-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California