Individual
DR. JEREMY DAVID MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 UCLA MEDICAL PLZ STE 2200, LOS ANGELES, CA 90095-2211
(310) 267-6810
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
(866) 569-5017
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A101936
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB290220
MEDICARE ID
—
Enumeration date
10/31/2007
Last updated
07/17/2024
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