Provider Demographics
NPI:1912981671
Name:MARTIN, FRANKLIN MCLAIN (MD)
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:MCLAIN
Last Name:MARTIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1955 CITRACADO PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92029-4110
Mailing Address - Country:US
Mailing Address - Phone:760-489-1355
Mailing Address - Fax:760-489-1392
Practice Address - Street 1:1955 CITRACADO PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92029-4110
Practice Address - Country:US
Practice Address - Phone:760-489-1355
Practice Address - Fax:760-489-1392
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-05
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG65456208600000X, 2086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG65456BMedicare ID - Type Unspecified
CAF03279Medicare UPIN