Individual
CARLOS GASTON MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
1155 N MISSION RD, LOS ANGELES, CA 90033-1040
(323) 227-4646
Mailing address
1155 N MISSION RD, LOS ANGELES, CA 90033-1040
(323) 227-4646
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
62879
CA
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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