Organization
SEMPER MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MAXX MARTINEZ I MPAP, PA-C (PRESIDENT)
(818) 653-4299
Entity
Organization
Contact information
Practice address
1750 HUNTINGTON DR, SUITE B, DUARTE, CA 91010-2536
(626) 930-1600
(626) 930-1655
Mailing address
1750 HUNTINGTON DR, SUITE B, DUARTE, CA 91010-2536
(626) 930-1600
(626) 930-1655
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
PA21107
CA
Other
Enumeration date
10/06/2011
Last updated
03/20/2012
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