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
Update your record
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