Organization
EDGAR I MARTINEZ DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR MARTINEZ D O (PRESIDENT)
(323) 582-1180
Entity
Organization
Contact information
Practice address
3512 E FLORENCE AVE, SUITE 102, HUNTINGTON PARK, CA 90255-5900
(323) 582-1180
(323) 582-8280
Mailing address
3512 E FLORENCE AVE, SUITE 102, HUNTINGTON PARK, CA 90255-5900
(323) 582-1180
(323) 582-8280
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
20A6262
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOAX62622
—
CA
Enumeration date
08/26/2008
Last updated
09/17/2008
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