Provider Demographics
NPI:1558659003
Name:MARTELLA, ANN LYNN (PA-C, MSPA)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:LYNN
Last Name:MARTELLA
Suffix:
Gender:F
Credentials:PA-C, MSPA
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Mailing Address - Street 1:1 EMBARCADERO CTR STE 1900
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-3723
Mailing Address - Country:US
Mailing Address - Phone:415-658-6791
Mailing Address - Fax:415-520-0904
Practice Address - Street 1:700 S FLOWER ST STE 2340
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017
Practice Address - Country:US
Practice Address - Phone:310-500-2039
Practice Address - Fax:323-305-7149
Is Sole Proprietor?:No
Enumeration Date:2011-07-19
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA 20535363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant