Individual
ANTONIO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1983 MARENGO ST, DEM, LOS ANGELES, CA 90033-1370
(323) 369-0955
Mailing address
4111 MAINE AVE, BALDWIN PARK, CA 91706-3307
(323) 369-0955
(626) 517-5482
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14182
CA
Other
Enumeration date
02/19/2008
Last updated
09/09/2024
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