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Individual

MARTIN VALENCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 MEDICAL PLAZA, #214, LOS ANGELES, CA 90095
(310) 825-6078
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045
(310) 301-8708
(310) 301-8751

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
F5102
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00F051020
CA
Enumeration date
07/26/2006
Last updated
09/05/2008
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