Individual
ELENA MARTINHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 LAS TABLAS RD, STE 0, TEMPLETON, CA 93465-9732
(805) 434-1511
(805) 434-3441
Mailing address
1111 LAS TABLAS RD, STE 0, TEMPLETON, CA 93465-9732
(805) 434-1511
(805) 434-3441
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G65112
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G651121
—
CA
01
—
070004201
RAILROAD MEDICARE
CA
Enumeration date
07/29/2005
Last updated
11/17/2008
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