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NPI Code Detail

MEDICARE: DR. CHARLES D. MARTINEZ AU.D.

MEDICARE:  DR. CHARLES D. MARTINEZ  AU.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologistAU931CA

General Provider Information

NPI Number : 1528049657
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES D. MARTINEZ AU.D.
Provider Business Mailing Address
First Line : 11301 WILSHIRE BLVD
Second Line : AUDIOLOGY - 126
City : LOS ANGELES
State : CA
Zip : 90073-1003
Country : US
Telephone Number : 310-268-3701
Fax Number : 310-268-4791
Provider Business Practice Location Address
First Line : 11301 WILSHIRE BLVD
Second Line : AUDIOLOGY - 126
City : LOS ANGELES
State : CA
Zip : 90073-1003
Country : US
Telephone Number : 310-268-3701
Fax Number : 310-268-4791
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2005
Last Update Date : 09/30/2008

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Directions to “ DR. CHARLES D. MARTINEZ AU.D.” Practice Location

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