| Dr Edgar Martinez Do Inc | |
|
3512 E Florence Ave. Suite 102 & 103 Huntington Park CA 90255-5900 | |
| (323) 582-1180 | |
| (323) 582-8280 |
| Full Name | Dr Edgar Martinez Do Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3512 E Florence Ave., Huntington Park, California |
| Authorized Official Name and Position | Edgar Martinez (PRESIDENT) |
| Authorized Official Contact | 3235821180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edgar Martinez Do Inc 3512 E Florence Ave. Suite 102 & 103 Huntington Park CA 90255-5900 Ph: (323) 582-1180 | Dr Edgar Martinez Do Inc 3512 E Florence Ave. Suite 102 & 103 Huntington Park CA 90255-5900 Ph: (323) 582-1180 |
| NPI Number | 1225752603 |
|---|---|
| Provider Enumeration Date | 09/29/2022 |
| Last Update Date | 09/29/2022 |
| Medicare PECOS PAC ID | 7517338254 |
|---|---|
| Medicare Enrollment ID | O20230117002493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225752603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Edgar I Martinez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1336163294 PECOS PAC ID: 2264591437 Enrollment ID: I20081103000110 |
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