Individual
BOBBY ADAM MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
470 E 3RD ST # A&B, LOS ANGELES, CA 90013-1629
(213) 626-6411
(213) 626-8115
Mailing address
470 E 3RD ST, LOS ANGELES, CA 90013-1629
(213) 626-6411
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C6856612
—
CA
Enumeration date
03/02/2018
Last updated
03/02/2018
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