| Carlos S Martinez Md Inc | |
|
1127 Wilshire Blvd Ste 1100 Los Angeles CA 90017-3901 | |
| (818) 207-8192 | |
| Not Available |
| Full Name | Carlos S Martinez Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1127 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Carlos S Martinez (PRESIDENT) |
| Authorized Official Contact | 8182078192 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos S Martinez Md Inc 17003 Knapp St Northridge CA 91325-2622 Ph: () - | Carlos S Martinez Md Inc 1127 Wilshire Blvd Ste 1100 Los Angeles CA 90017-3901 Ph: (818) 207-8192 |
| NPI Number | 1295110294 |
|---|---|
| Provider Enumeration Date | 07/21/2015 |
| Last Update Date | 07/21/2015 |
| Medicare PECOS PAC ID | 1759697394 |
|---|---|
| Medicare Enrollment ID | O20150827002531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295110294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Carlos S Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548572795 PECOS PAC ID: 6507052198 Enrollment ID: I20101122000702 |
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