Individual
DR. MIGUEL MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 E CESAR E CHAVEZ AVE, SUITE 500, LOS ANGELES, CA 90033-2464
(323) 261-0108
(323) 224-6206
Mailing address
1701 E CESAR E CHAVEZ AVE, SUITE 500, LOS ANGELES, CA 90033-2464
(323) 261-0108
(323) 224-6206
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G54840
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G548400
—
CA
Enumeration date
07/12/2006
Last updated
07/09/2007
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