Individual
IVAN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3611 E IMPERIAL HWY, LYNWOOD, CA 90262-2608
(310) 537-2500
Mailing address
6701 CALIFORNIA AVE APT C, BELL, CA 90201-6513
(323) 482-8816
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4320
CA
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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