Individual
JONATHAN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
4959 PALO VERDE ST, STE 101A, MONTCLAIR, CA 91763-2340
(909) 621-2562
(909) 621-2480
Mailing address
4959 PALO VERDE ST, STE 101A, MONTCLAIR, CA 91763-2340
(909) 621-2562
(909) 621-2480
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 13140
CA
Other
Enumeration date
08/30/2006
Last updated
10/02/2012
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