Jonathan Martinez, PAC
Physician Assistant, Medical in Montclair, CA. Individual provider (NPI-1).
NPI number1750491908
StatusActive
Last updated in NPPESOct 2, 2012
Details
- NPI
- 1750491908
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Martinez
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Oct 2, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA 13140 | CA | Yes |
Practice location
4959 Palo Verde StSte 101a
Montclair, CA 91763-2340
Phone 909-621-2562 · Fax 909-621-2480
Mailing address
4959 Palo Verde StSte 101a
Montclair, CA 91763-2340
Phone 909-621-2562 · Fax 909-621-2480
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Other Medical Physician Assistant providers in Montclair, CA
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All 8 Medical Physician Assistant providers in Montclair · All 1,614 providers in Montclair
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