Individual
DR. DANIEL THOMAS MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
14319 RAMONA BLVD, BALDWIN PARK, CA 91706-3242
(626) 960-8655
(626) 960-7802
Mailing address
14319 RAMONA BLVD, BALDWIN PARK, CA 91706-3242
(626) 960-8655
(626) 960-7802
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8276T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0082760
—
CA
Enumeration date
04/17/2006
Last updated
05/29/2008
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