Provider Demographics
NPI:1134384639
Name:MARTEL, DARIN NEIL (PA-C)
Entity type:Individual
Prefix:
First Name:DARIN
Middle Name:NEIL
Last Name:MARTEL
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7695 CARDINAL CT
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-3357
Mailing Address - Country:US
Mailing Address - Phone:858-278-8835
Mailing Address - Fax:858-386-4776
Practice Address - Street 1:7695 CARDINAL CT
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-3357
Practice Address - Country:US
Practice Address - Phone:858-278-8835
Practice Address - Fax:858-386-4776
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA15967363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant