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Organization
PASADENA COLON & RECTAL MED GRP
Active
Organization
PASADENA COLON & RECTAL MED GRP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS WM MARTINEZ MD (MEDICAL DOCTOR)
(626) 795-4261
Entity
Organization
Contact information
Practice address
65 N MADISON AVE, STE 410, PASADENA, CA 91101-2035
(626) 795-4261
(626) 795-1506
Mailing address
65 N MADISON AVE, STE 410, PASADENA, CA 91101-2035
(626) 795-4261
(626) 795-1506
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A029395
CA
Other
Enumeration date
12/06/2005
Last updated
01/27/2010
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