Provider Demographics
NPI:1144547548
Name:MEIER, MARTINA REBECCA (MD)
Entity type:Individual
Prefix:DR
First Name:MARTINA
Middle Name:REBECCA
Last Name:MEIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4228 INCE BLVD
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232-2605
Mailing Address - Country:US
Mailing Address - Phone:310-425-8989
Mailing Address - Fax:
Practice Address - Street 1:2601 AIRPORT DR
Practice Address - Street 2:SUITE 230
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-6140
Practice Address - Country:US
Practice Address - Phone:310-530-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-23
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA92260207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine