Provider Demographics
NPI:1306018809
Name:MARTIN, PIA (DC)
Entity Type:Individual
Prefix:DR
First Name:PIA
Middle Name:
Last Name:MARTIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 CARINGA WAY
Mailing Address - Street 2:#48
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-6374
Mailing Address - Country:US
Mailing Address - Phone:214-869-6404
Mailing Address - Fax:
Practice Address - Street 1:11622 EL CAMINO REAL
Practice Address - Street 2:#100
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-2049
Practice Address - Country:US
Practice Address - Phone:858-764-2409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-25
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30743111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition