Individual
MR. MARTY CELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPSS-SPEZDN
Contact information
Practice address
44505 90TH ST W BLDG B, LANCASTER, CA 93536-7705
(661) 726-2630
Mailing address
44505 90TH ST W BLDG B, LANCASTER, CA 93536-7705
(661) 726-2630
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-SPEZDN
CA
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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