Doctor Name: | DR. JOSEPH GERARD S MARTINEZ |
NPI Number: | 1679559769 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A78782 |
Business Practice Address: | 19601 Mariner Ave Torrance, CA - 905031647 |
Business Phone Number: | 3103710813 |
Business Fax Number: | 3107935480 |
Mailing Address: | 19601 Mariner Ave, TORRANCE |
State: | CA |
Postal Code: | 905031671 |
Phone Number: | 3103710813 |
Fax Number: | 3107935480 |
NPI Enumeration Date: | 12/20/2005 |
NPI Last Update Date: | 04/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A78782 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |