Ernesto Martinez

NPI 1265725451 - Specialist - 174400000X

NPI Details
NPI 1265725451
Gender Male
Enumeration Date 05/19/2011
Last Updated 05/19/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
3019 GRAND AVE
WALNUT PARK CA, 90255-6228, US
Phone (323) 583-6691
Fax
Business Location
3019 GRAND AVE
WALNUT PARK CA, 90255-6228, US
Phone
Fax
Toxanomy
Taxonomy Code 174400000X
License State California
License Number OT4089
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According to our database, Ernesto Martinez NPI is 1265725451, taxonomy code is 174400000X and license number is OT4089, license state is located at California. Ernesto Martinez physically located at 3019 Grand Ave, Walnut Park CA, 90255-6228. NPI Number Ernesto Martinez has the Individual type.

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1265725451 NPI number is provided on an as is basis without warranty of any kind. 1265725451 is maintained by the National Plan & Provider Enumeration System. The contents of Ernesto Martinez are for informational purposes only.