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Organization

MIKE T MARTINEZ

Active
Other names
STREAMLINE ORTHOPEDIC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MIKE MARTINEZ CO (PRESIDENT)
(916) 488-1478
Entity
Organization

Contact information

Practice address
2222 WATT AVE, STE C9, SACRAMENTO, CA 95825-0581
(916) 488-1478
(916) 488-1807
Mailing address
2222 WATT AVE, STE C9, SACRAMENTO, CA 95825-0581
(916) 488-1478
(916) 488-1807

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0152576
KAISER
CA
01
C00027980
BC
CA
05
XA0027980
CA
Enumeration date
02/14/2007
Last updated
02/12/2008
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