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1033472741
MIGUEL ANGEL MARTINEZ
FONTANA, CA
NPI
1033472741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A128522)
Enumeration Date
2012-06-18
Last Update Date
2020-10-12
Business Address
MIGUEL ANGEL MARTINEZ MD
17051 SIERRA LAKES PKWY STE 101
FONTANA, CA 92336-1274
Phone number: 909-864-4700
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Mailing Address
MIGUEL ANGEL MARTINEZ MD
3400 DATA DR ATTN CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA 95670-7956
Phone number:
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