Organization
CLINICA MEDICA MI FAMILIA DE PALMDALE, INC.
Active
Organization
CLINICA MEDICA MI FAMILIA DE PALMDALE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS S MARTINEZ M.D. (CHIEF EXECUTIVE OFFICER)
(661) 266-0800
Entity
Organization
Contact information
Practice address
1037 E PALMDALE BLVD, SUITE 101, PALMDALE, CA 93550-4745
(661) 266-0800
Mailing address
1037 E PALMDALE BLVD, SUITE 101, PALMDALE, CA 93550-4745
(661) 266-0800
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15859
CA
Other
Enumeration date
09/15/2014
Last updated
05/14/2015
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