SearchCalifornia101YA0400X

Manuel Martinez

NPI 1568218568 · on the registry since 2024 · sole proprietor

Practice

Address
762 Griswold Ave
San Fernando, CA 91340
Phone
(747) 500-9405
Organisation at this address
San Fernando Recovery Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
33

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California