person
Mr. Ezequiel Martinez, PA
Medical Physician Assistant in San Bernardino, California
NPI 1497822142

Ezequiel Martinez is a Medical Physician Assistant based in San Bernardino, CA and is specialized in Medical. Ezequiel Martinez practices in San Bernardino, CA and has the professional credentials of PA. The NPI Number for Ezequiel Martinez is 1497822142 and holds a License No. PA18846 (California).

The current practice location address for Ezequiel Martinez is 330 N D St Ste 300, San Bernardino, CA and can be reached out via phone at 909-888-6602 and via fax at 909-888-6619. You can also correspond with Ezequiel Martinez through the mailing address at 330 N D ST STE 300, SAN BERNARDINO, CA - 92401-1522 (mailing address contact number: 909-888-6602).

Location: 330 N D St Ste 300, San Bernardino, CA, 92401-1522
person
Provider Profile Details
NPI Number
1497822142
Provider Name
Ezequiel Martinez
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
330 N D St Ste 300, San Bernardino, CA, 92401-1522
Phone Number
909-888-6602
Fax Number
909-888-6619
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0017240 05 CA
institution
Provider Business Practice Location Address Details
Address
330 N D St Ste 300
City
State
Zip
92401-1522
Phone Number
909-888-6602
Fax Number
909-888-6619
person
Provider Business Mailing Address Details
Address
330 N D St Ste 300
City
State
Zip
92401-1522
Phone Number
909-888-6602
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA18846 (California)
Definition
Definition to come...
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