MIGUEL ANGEL MARTINEZ

FONTANA, CA
NPI1033472741
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A128522)
Enumeration Date2012-06-18
Last Update Date2020-10-12
Business Address
MIGUEL ANGEL MARTINEZ MD
17051 SIERRA LAKES PKWY STE 101
FONTANA, CA 92336-1274
Phone number: 909-864-4700
Mailing Address
MIGUEL ANGEL MARTINEZ MD
3400 DATA DR ATTN CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA 95670-7956
Phone number: