Provider Demographics
NPI:1851312300
Name:MARTEL, JAMES B (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:B
Last Name:MARTEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11216 TRINITY RIVER DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-2961
Mailing Address - Country:US
Mailing Address - Phone:916-635-6161
Mailing Address - Fax:916-631-3788
Practice Address - Street 1:11216 TRINITY RIVER DR
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-2961
Practice Address - Country:US
Practice Address - Phone:916-635-6161
Practice Address - Fax:916-631-3788
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2012-08-23
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Provider Licenses
StateLicense IDTaxonomies
CAG60544207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE88661Medicare UPIN