Individual
ERIC EMILIO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, EMT
Contact information
Practice address
3134 SAN ANGELO AVE, SIMI VALLEY, CA 93063-1929
(805) 915-8616
Mailing address
3134 SAN ANGELO AVE, SIMI VALLEY, CA 93063-1929
(805) 915-8616
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000021961
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E116263
EMERGENCY MEDICAL TECHNICIAN
CA
Enumeration date
01/19/2017
Last updated
01/19/2017
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