Organization Name: | IVAN P. MARTINEZ, M.D. INC. |
NPI Number: | 1275800401 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARGARITA MARTINEZ (OFFICE MANAGER) |
Mailing Address: | 500 S Anaheim Hills Rd 200 Anaheim |
State: | CA US |
Postal Code: | 928074780 |
Phone Number: | 7149741717 |
Fax Number: | 7149749019 |
NPI Enumeration Date: | 11/16/2011 |
NPI Last Update Date: | 11/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A25866 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |