| Martinez Medical Clinic | |
|
1150 N Hacienda Blvd La Puente CA 91744-2023 | |
| (626) 917-5281 | |
| (626) 917-5411 |
| Full Name | Martinez Medical Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 1150 N Hacienda Blvd, La Puente, California |
| Authorized Official Name and Position | Emil T Martinez (OWNER) |
| Authorized Official Contact | 6269175281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martinez Medical Clinic 1150 N Hacienda Blvd La Puente CA 91744-2023 Ph: (626) 917-5281 | Martinez Medical Clinic 1150 N Hacienda Blvd La Puente CA 91744-2023 Ph: (626) 917-5281 |
| NPI Number | 1285815092 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 02/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285815092 | NPI | - | NPPES |
| 00A17556 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A17556 (California) | Primary |
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