# DEO MARTINEZ MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Deo Martinez MD PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962560235
- **Authorized official:** CARMEN SANDOVAL MARTINEZ (OFFICE MANAGER CHIEF FINANCIAL OFFI)
- **Authorized official phone:** (951) 656-1660

## Contact information

- **Practice address:** 13050 HEACOCK ST, MORENO VALLEY, CA 92553-1350
- **Practice address phone:** (951) 656-1660
- **Practice address fax:** (951) 656-2060
- **Mailing address:** PO BOX 1350, MORENO VALLEY, CA 92556-1350
- **Mailing address phone:** (951) 656-1660
- **Mailing address fax:** (951) 656-2060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | A32000 | CA | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | A32000 | CA | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | A32000 | CA | — |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 09/11/2025