| Joshua Medical Group | |
|
38460 5th St. West, Ste A-e Palmdale CA 93551-1411 | |
| (661) 273-1614 | |
| (661) 273-4816 |
| Full Name | Joshua Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 38460 5th St. West, Ste A-e, Palmdale, California |
| Authorized Official Name and Position | Gonzalo G Martinez (OWNER) |
| Authorized Official Contact | 6612731614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Medical Group 38460 5th St. West, Ste A-e Palmdale CA 93551-1411 Ph: (661) 273-1614 | Joshua Medical Group 38460 5th St. West, Ste A-e Palmdale CA 93551-1411 Ph: (661) 273-1614 |
| NPI Number | 1205023249 |
|---|---|
| Provider Enumeration Date | 10/03/2007 |
| Last Update Date | 03/03/2014 |
| Medicare PECOS PAC ID | 2163518531 |
|---|---|
| Medicare Enrollment ID | O20071016000285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205023249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G45660 (California) | Primary |
| Provider Name | Gonzalo G Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578622700 PECOS PAC ID: 4981790359 Enrollment ID: I20071016000278 |
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