Organization
ENIS M MARTINEZ, M. D. A PROFFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENIS M MARTINEZ M.D. (PRESIDENT)
(831) 637-1655
Entity
Organization
Contact information
Practice address
901 SUNSET DR STE 1, HOLLISTER, CA 95023-5613
(831) 637-1655
(831) 637-6894
Mailing address
901 SUNSET DR STE 1, HOLLISTER, CA 95023-5613
(831) 637-1655
(831) 637-6894
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G43931
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G439310
—
CA
Enumeration date
05/16/2007
Last updated
08/22/2020
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