Individual
MR. CONRADO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
223 W COLE BLVD, CALEXICO, CA 92231-9722
(760) 357-2020
(760) 357-1056
Mailing address
852 E DANENBERG DR, EL CENTRO, CA 92243-8517
(760) 344-9951
(760) 344-5840
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA19858
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA 19858
P.A. LICENSE #PA 19858
CA
Enumeration date
09/03/2008
Last updated
03/08/2023
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