Individual
MICHAEL MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1500 SAN PABLO ST, LOS ANGELES, CA 90033-5313
(323) 424-8850
Mailing address
6230 HAYES AVE, LOS ANGELES, CA 90042-3618
(562) 252-3585
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
AT4349
CA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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