DR. CALLISTA BOETTCHER MARTIN MD
NPI 1396558136
Military Health Care Provider in San Diego, CA
- Individual
- Female
- Military Health Care Provider
About CALLISTA MARTIN
This page provides the complete NPI Profile along with additional information for Callista Martin, a provider established in San Diego, California with a medical specialization in Military Health Care Provider. The healthcare provider is registered in the NPI registry with number 1396558136 assigned on January 2025. The practitioner's primary taxonomy code is 171000000X. The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1396558136 Verify this NPI
- Provider Name
- DR. CALLISTA BOETTCHER MARTIN MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 34800 BOB WILSON DR SAN DIEGO, CA 92134
- Location Phone
- (314) 813-4632
- Mailing Address
- 34800 BOB WILSON DR SAN DIEGO, CA 92134
- Mailing Phone
- (314) 813-4632
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-27-2025
- Last Update Date
- 01-27-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Military Health Care Provider
- Taxonomy Code
- 171000000X
- Type
- Other Service Providers
- Taxonomy Description
- Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396558136, enumerated as an "individual" on January 27, 2025.
The provider is located at 34800 BOB WILSON DR SAN DIEGO, CA 92134 and the phone number is (314) 813-4632.
Military Health Care Provider with taxonomy code 171000000X.