Fernando Martinez

NPI 1053648949 - Community Health Worker - 172V00000X

NPI Details
NPI 1053648949
Gender Male
Enumeration Date 11/12/2009
Last Updated 11/12/2009
Entity Type Individual
Active Over 6 years ago
Practice Location
LOS ANGELES CA, 90063-3911, US
Phone (323) 307-0152
Fax (323) 307-0161
Business Location
3512 1/2 GLEASON AVE
LOS ANGELES CA, 90063-2926, US
Phone (323) 307-0152
Fax (323) 307-0161
Taxonomy Code 172V00000X
License State
License Number
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According to our database, Fernando Martinez NPI is 1053648949, taxonomy code is 172V00000X Fernando Martinez physically located at 512 S Indiana St, Los Angeles CA, 90063-3911. NPI Number Fernando Martinez has the Individual type.

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1053648949 NPI number is provided on an as is basis without warranty of any kind. 1053648949 is maintained by the National Plan & Provider Enumeration System. The contents of Fernando Martinez are for informational purposes only.