Basic Information
| Provider Information | |||||||||
| NPI: | 1598096364 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HALUM | ||||||||
| FirstName: | MARTIN | ||||||||
| MiddleName: | GAYLON | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | II | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1422 EL CAMINO REAL | ||||||||
| Address2: | |||||||||
| City: | MENLO PARK | ||||||||
| State: | CA | ||||||||
| PostalCode: | 940254110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6509039500 | ||||||||
| FaxNumber: | 6509039900 | ||||||||
| Practice Location | |||||||||
| Address1: | 1422 EL CAMINO REAL | ||||||||
| Address2: | |||||||||
| City: | MENLO PARK | ||||||||
| State: | CA | ||||||||
| PostalCode: | 940254110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6509039500 | ||||||||
| FaxNumber: | 6509039900 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/19/2010 | ||||||||
| LastUpdateDate: | 02/04/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | A103201 | CA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.