Manuel A Martinez RD, CDE

NPI 1679755862 - Dietitian, Registered - 133VN1006X

NPI Details
NPI 1679755862
Gender Male
Enumeration Date 11/29/2007
Last Updated 11/29/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1025 W OLYMPIC BLVD
ROOM 7
LOS ANGELES CA, 90015-1329, US
Phone (213) 861-5849
Fax (213) 861-5973
Business Location
1025 W OLYMPIC BLVD
ROOM 7
LOS ANGELES CA, 90015-1329, US
Phone (213) 861-5849
Fax (213) 861-5973
Toxanomy
Taxonomy Code 133VN1006X
License State California
License Number CDE 2021-0283
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According to our database, Mr. Manuel A Martinez RD, CDE NPI is 1679755862, taxonomy code is 133VN1006X and license number is CDE 2021-0283, license state is located at California. Manuel A Martinez RD, CDE physically located at 1025 W Olympic Blvd, Los Angeles CA, 90015-1329. NPI Number Manuel A Martinez RD, CDE has the Individual type.

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1679755862 NPI number is provided on an as is basis without warranty of any kind. 1679755862 is maintained by the National Plan & Provider Enumeration System. The contents of Manuel A Martinez RD, CDE are for informational purposes only.