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MARTINEZ MEDICAL CLINIC NPI 1285815092


NPI Information

NPI: 1285815092
Provider Name: MARTINEZ MEDICAL CLINIC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1150 N HACIENDA BLVD
LA PUENTE, CA
ZIP 91744
Phone: (626) 917-5281
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MARTINEZ MEDICAL CLINIC is a clinic center in La Puente, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MARTINEZ MEDICAL CLINIC NPI is 1285815092. The provider is registered as an organization entity type.

The provider's business location address is:

1150 N HACIENDA BLVD
LA PUENTE, CA
ZIP 91744-023
Phone: (626) 917-5281
Fax: (626) 917-5411

The provider's authorized official is Emil T Martinez .
The authorized official title is Owner and has the following contact phone number (626) 917-5281.

The enumeration date for this NPI number is 11/20/2007 and was last updated on 2/29/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterA17556CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A17556MEDICAIDCALIFORNIA
2W288MEDICARE PINCALIFORNIA
3A81838MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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