Martin L Jackier | La Jolla, CA • PECOS Search

Martin L Jackier

Emergency Medicine

Allopathic & Osteopathic Physicians

5431 La Jolla Blvd Apt A, La Jolla, CA 92037-7649

PECOS Enrollment

Based on the most recent information from CMS, provider Martin L Jackier does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1376886622
Provider Type
Individual
Full Name
Jackier, Martin L
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/4/2013
Last Updated
4/4/2013

Contact Information

Practice Location

5431 La Jolla Blvd Apt A, La Jolla, CA 92037-7649

Unlisted Fax

Mailing Location

5431 La Jolla Blvd Apt A, La Jolla, CA 92037-7649

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License DR0036523 Colorado