Provider Demographics
NPI:1548494248
Name:NATION, MARTIN C (MD)
Entity type:Individual
Prefix:
First Name:MARTIN
Middle Name:C
Last Name:NATION
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 1:1123 W STRUCK AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-3529
Mailing Address - Country:US
Mailing Address - Phone:714-757-9799
Mailing Address - Fax:714-202-0080
Practice Address - Street 1:1123 W STRUCK AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-3529
Practice Address - Country:US
Practice Address - Phone:714-757-9799
Practice Address - Fax:714-202-0080
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-08
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG44036207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery