Individual
CARLOS XAVIER AYON MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41715 WINCHESTER RD, TEMECULA, CA 92590-4808
(760) 737-6960
Mailing address
425 N DATE ST, ESCONDIDO, CA 92025-3413
(760) 737-6960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A114419
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FA429Z
MEDICARE PTAN
CA
01
—
W14158
MEDICARE GROUP PTAN
CA
01
—
ZZZ20041Z
GROUP PTAN
CA
Enumeration date
06/30/2008
Last updated
06/20/2013
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