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Organization

DANIEL T. MARTINEZ O.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANIEL THOMAS MARTINEZ O.D. (OPTOMETRY)
(626) 960-8655
Entity
Organization

Contact information

Practice address
14319 RAMONA BLVD, 14319 RAMONA BLVD., BALDWIN PARK, CA 91706-3242
(626) 960-8655
(626) 960-7802
Mailing address
14319 RAMONA BLVD, 14319 RAMONA BLVD., BALDWIN PARK, CA 91706-3242
(626) 960-8655
(626) 960-7802

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT8276
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0082760
CA
Enumeration date
01/25/2007
Last updated
05/30/2008
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