Martinez, Edgar I

Martinez, Edgar I is an sole proprietor health care provider with primary practice located at 3512 E Florence Ave Suite 102, Huntington Park CA 90255-5900. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Martinez, Edgar I can be contacted via phone (323) 582-1180.

Contact Information

Primary practice address
3512 E Florence Ave Suite 102 Huntington Park CA 90255-5900
Phone: (323) 582-1180
Fax: (323) 582-8280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 20A6262 California

Profile Details

NPI number 1336163294
LBN Legal business name Martinez, Edgar I
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Sep 25th, 2012 - about 12 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 1336163294 NPPES
California MEDICAID 00AX62622

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