Individual
DR. JEANNETTE YVETTE MARTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 FREMONT AVE, SOUTH PASADENA, CA 91030-2529
(626) 403-1747
(626) 403-1784
Mailing address
701 FREMONT AVE, SOUTH PASADENA, CA 91030-2529
(626) 403-1747
(626) 403-1784
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G066298
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G066298
MEDICAL LICENSE NUMBER
CA
Enumeration date
05/03/2007
Last updated
07/08/2007
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