Individual
MIGUEL ANGEL MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
14501 MAGNOLIA ST STE 104, WESTMINSTER, CA 92683-1307
(714) 891-0080
Mailing address
2136 WALLACE AVE, COSTA MESA, CA 92627-2930
(949) 527-8061
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4865
CA
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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