Martin S. Cousineau M.D. Inc.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G50372 Issued in CA

Legal business name

MARTIN S. COUSINEAU M.D. INC.

Practice address

450 N Roxbury Dr Ste 250
Beverly Hills, CA 90210-4240

Phone

(310) 246-4628

NPI assigned

May 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Martin Shields Cousineau

Title

President

Phone

(310) 557-0049

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790995645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9903 SANTA MONICA BLVD # 752",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121606",
            "telephone_number": "310-557-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N ROXBURY DR STE 250",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104240",
            "telephone_number": "310-246-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN S. COUSINEAU M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COUSINEAU",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "SHIELDS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-557-0049",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G50372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G503720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin Cooper MD Inc
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• Martin N Gordon MD
• Martin N Gordon MD
• Martin P Alongi (Beverly Hills Podiatry)
• Clark Andrew Martin Sr., DMD
• Neil Allan Martin, LCSW
• Emily Martinez
• Gerardo R Martinez, MD
• Kelvin Martinez, AMFT

• Anesthesiology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.