Organization
M & M MEDICAL DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE MARTINEZ (PRESIDENT)
(626) 232-0401
Entity
Organization
Contact information
Practice address
504 S 2ND AVE, COVINA, CA 91723-3012
(626) 232-0401
(626) 608-0303
Mailing address
504 S 2ND AVE, COVINA, CA 91723-3012
(626) 232-0401
(626) 608-0303
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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