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Manuel Jesus Martinez Jr., R.N

Registered Nurse, Addiction (Substance Use Disorder) in Los Angeles, CA. Individual provider (NPI-1).

NPI number1346792736
StatusActive
Last updated in NPPESNov 1, 2016

Details

NPI
1346792736
Entity type
Individual (NPI-1)
Name
Mr. Manuel Jesus Martinez Jr.
Credential
R.N
Sex
Male
Sole proprietor
No
Enumeration date
Nov 1, 2016
Last updated
Nov 1, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)786967CAYes

Practice location

3107 S Grand Ave
Los Angeles, CA 90007-3816

Phone 213-744-1688 · Fax 213-744-1688

Mailing address

3107 S Grand Ave
Los Angeles, CA 90007-3816

Phone 213-744-8186 · Fax 213-744-1688

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Addiction (Substance Use Disorder) Registered Nurse providers in Los Angeles, CA

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