Martinez, Carmen M

Martinez, Carmen M is an individual health care provider with primary practice located at 147 N Brent St , Ventura CA 93003-2809. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as her primary health care specialty. Martinez, Carmen M can be contacted via phone (805) 652-5028.

Contact Information

Primary practice address
147 N Brent St Ventura CA 93003-2809
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X A62027 California

Profile Details

NPI number 1679533822
LBN Legal business name Martinez, Carmen M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679533822 NPPES
California MEDICAID 00A620270

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