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General NPI Number Information
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NPI Number | 1780696351
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Entity Type | Individual
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Provider Name | LUIS EDUARDO MARTINEZ MD
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Gender | Male
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 8501 WILSHIRE BLVD STE 201
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3135
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Country | US
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Telephone | 310-385-3345
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9602
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City | MISSION HILLS
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State | CA
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Zip | 91346-9602
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Country | US
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Telephone | 818-837-5637
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Fax | 818-837-5589
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A65041
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License Number State | CA
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