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Organization
JEREMIAH MARTINEZ PSYCHIATRY INC
Active
Organization
JEREMIAH MARTINEZ PSYCHIATRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMIAH MARTINEZ (OWNER)
(909) 560-0974
Entity
Organization
Contact information
Practice address
933 S SUNSET AVE STE 311, WEST COVINA, CA 91790-3410
(909) 560-0974
Mailing address
21 RAINBOW RIDGE RD, POMONA, CA 91766-4910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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