| Organization Name: | EDGAR I MARTINEZ DO INC |
| NPI Number: | 1518114131 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDGAR MARTINEZ (PRESIDENT) |
| Mailing Address: | 3512 E Florence Ave Suite 102 Huntington Park |
| State: | CA US |
| Postal Code: | 902555900 |
| Phone Number: | 3235821180 |
| Fax Number: | 3235828280 |
| NPI Enumeration Date: | 08/26/2008 |
| NPI Last Update Date: | 09/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 20A6262 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |