Individual
ALEXANDER MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23701 E EAST FORK RD, AZUSA, CA 91702-1477
(626) 250-3290
(626) 910-1380
Mailing address
23701 E EAST FORK RD, AZUSA, CA 91702-1477
(626) 250-3290
(626) 910-1380
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
15933-RAC
CA
Other
Enumeration date
10/11/2022
Last updated
01/30/2023
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