person
Martin Madrigal, PA-C
Medical Physician Assistant in Montclair, California
NPI 1043371636

Martin Madrigal is a Medical Physician Assistant based in Montclair, CA and is specialized in Medical. Martin Madrigal practices in Montclair, CA and has the professional credentials of PA-C. The NPI Number for Martin Madrigal is 1043371636 and holds a License No. PA17142 (California).

The current practice location address for Martin Madrigal is 5404 Moreno St, Montclair, CA and can be reached out via phone at 909-949-4400 and via fax at 909-949-4441.

Location: 5404 Moreno St, Montclair, CA, 91763-1667
person
Provider Profile Details
NPI Number
1043371636
Provider Name
Martin Madrigal
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
5404 Moreno St, Montclair, CA, 91763-1667
Phone Number
909-949-4400
Fax Number
909-949-4441
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA17142 01 CA STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
5404 Moreno St
City
State
Zip
91763-1667
Phone Number
909-949-4400
Fax Number
909-949-4441
person
Provider Business Mailing Address Details
Address
5404 Moreno St
City
State
Zip
91763-1667
Phone Number
909-949-4400
Fax Number
909-949-4441
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA17142 (California)
Definition
Definition to come...
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