Organization
CENTERVILLE MEDICAL GROUP AND ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LENE V.M. MARTINEZ M.D. (PRESIDENT)
(510) 818-9100
Entity
Organization
Contact information
Practice address
3778 BONDE WAY, FREMONT, CA 94536-3646
(510) 818-9100
(510) 818-9901
Mailing address
3778 BONDE WAY, FREMONT, CA 94536-3646
(510) 818-9100
(510) 818-9901
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
08/22/2020
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