Organization
MARTINEZ MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMIL T MARTINEZ MD (OWNER)
(626) 917-5281
Entity
Organization
Contact information
Practice address
1150 N HACIENDA BLVD, LA PUENTE, CA 91744-2023
(626) 917-5281
(626) 917-5411
Mailing address
1150 N HACIENDA BLVD, LA PUENTE, CA 91744-2023
(626) 917-5281
(626) 917-5411
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A17556
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A17556
—
CA
Enumeration date
11/20/2007
Last updated
02/29/2008
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