| Luis Eduardo Martinez, MD | |
|
207 S Santa Anita Ave, San Gabriel, CA 91776-1146 | |
| (626) 943-3293 | |
| (626) 943-3252 |
| Full Name | Luis Eduardo Martinez |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 207 S Santa Anita Ave, San Gabriel, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780696351 | NPI | - | NPPES |
| 00A650410 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A65041 (California) | Primary |
| Entity Name | Beaver Medical Group P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449 |
| Entity Name | Healthcare Partners Affiliates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
| Entity Name | Saddleback Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386605822 PECOS PAC ID: 5092606905 Enrollment ID: O20040322000770 |
| Entity Name | Pinnacle Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376876912 PECOS PAC ID: 4880667609 Enrollment ID: O20040818001020 |
| Entity Name | Centers For Family Medicine Gp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467598243 PECOS PAC ID: 9931143799 Enrollment ID: O20050614000191 |
| Mailing Address | Practice Location Address |
|---|---|
| Luis Eduardo Martinez, MD Po Box 9602, Mission Hills, CA 91346-9602 Ph: (818) 837-5637 | Luis Eduardo Martinez, MD 207 S Santa Anita Ave, San Gabriel, CA 91776-1146 Ph: (626) 943-3293 |
Daniel K Cham, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 714 W Santa Anita St, Ste B, San Gabriel, CA 91776 Phone: 626-576-1755 Fax: 626-576-1755 | |
Gayathri Selvakkumaran, MD. Pediatrics Medicare: Medicare Enrolled Practice Location: 207 S Santa Anita Ave, San Gabriel, CA 91776 Phone: 626-576-0800 |