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Individual
MR. MIGUEL A MARTINEZ
Active
Individual
MR. MIGUEL A MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106203
CA
1041C0700X
Clinical Social Worker
Primary
106203
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-2633765
MEDI-CAL
CA
Enumeration date
03/30/2018
Last updated
06/28/2023
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