Organization
KENNETH P MARTINEZ MD A MEDICAL CORP
Active
Organization
KENNETH P MARTINEZ MD A MEDICAL CORP
Active
Other names
NEUROLOGY & PAIN SPECIALTY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH PATRICK MARTINEZ MD (NEUROLOGIST)
(949) 305-7122
Entity
Organization
Contact information
Practice address
5 JOURNEY STE 210, ALISO VIEJO, CA 92656-5332
(949) 305-7122
(949) 305-7160
Mailing address
5 JOURNEY, SUITE 210, ALISO VIEJO, CA 92656-5336
(949) 305-7122
(949) 305-7160
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A66709
CA LICENSE
CA
Enumeration date
06/21/2007
Last updated
07/21/2022
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