Luis Eduardo Martinez, MD | |
207 S Santa Anita Ave, San Gabriel, CA 91776-1146 | |
(626) 943-3293 | |
(626) 943-3252 |
Full Name | Luis Eduardo Martinez |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 207 S Santa Anita Ave, San Gabriel, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780696351 | NPI | - | NPPES |
00A650410 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A65041 (California) | Primary |
Entity Name | Healthcare Partners Affiliates Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
Entity Name | Centers For Family Medicine |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467598243 PECOS PAC ID: 9931143799 Enrollment ID: O20050614000191 |
Mailing Address | Practice Location Address |
---|---|
Luis Eduardo Martinez, MD Po Box 9602, Mission Hills, CA 91346-9602 Ph: (818) 837-5637 | Luis Eduardo Martinez, MD 207 S Santa Anita Ave, San Gabriel, CA 91776-1146 Ph: (626) 943-3293 |
Daniel K Cham, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 714 W Santa Anita St, Ste B, San Gabriel, CA 91776 Phone: 626-576-1755 Fax: 626-576-1755 | |
Gayathri Selvakkumaran, MD. Pediatrics Medicare: Medicare Enrolled Practice Location: 207 S Santa Anita Ave, San Gabriel, CA 91776 Phone: 626-576-0800 |