| Edgar I Martinez Do Inc | |
|
3512 E Florence Ave Suite 102 Huntington Park CA 90255-5900 | |
| (323) 582-1180 | |
| (323) 582-8280 |
| Full Name | Edgar I Martinez Do Inc |
|---|---|
| Speciality | General Practice |
| Location | 3512 E Florence Ave, Huntington Park, California |
| Authorized Official Name and Position | Edgar Martinez (PRESIDENT) |
| Authorized Official Contact | 3235821180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgar I Martinez Do Inc 3512 E Florence Ave Suite 102 Huntington Park CA 90255-5900 Ph: (323) 582-1180 | Edgar I Martinez Do Inc 3512 E Florence Ave Suite 102 Huntington Park CA 90255-5900 Ph: (323) 582-1180 |
| NPI Number | 1518114131 |
|---|---|
| Provider Enumeration Date | 08/26/2008 |
| Last Update Date | 09/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518114131 | NPI | - | NPPES |
| OOAX62622 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 20A6262 (California) | Primary |
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