Individual
CARLOS ROBERTO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
I.D.C.
Contact information
Practice address
161 1ST ST, BLDG 1402, PORT HUENEME, CA 93043-0001
(805) 982-6496
(805) 815-3753
Mailing address
1829B TERRIER STREET, POINT MUGU, CA 93041
(805) 889-5848
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/25/2006
Last updated
03/04/2008
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