| Kenneth P Martinez Md A Medical Corp | |
|
5 Journey Ste 210 Aliso Viejo CA 92656-5332 | |
| (949) 305-7122 | |
| (949) 305-7160 |
| Full Name | Kenneth P Martinez Md A Medical Corp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5 Journey Ste 210, Aliso Viejo, California |
| Authorized Official Name and Position | Kenneth Patrick Martinez (NEUROLOGIST) |
| Authorized Official Contact | 9493057122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth P Martinez Md A Medical Corp 5 Journey Suite 210 Aliso Viejo CA 92656-5336 Ph: (949) 305-7122 | Kenneth P Martinez Md A Medical Corp 5 Journey Ste 210 Aliso Viejo CA 92656-5332 Ph: (949) 305-7122 |
| NPI Number | 1255537957 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 07/21/2022 |
| Certification Date | 01/07/2020 |
| Medicare PECOS PAC ID | 9133115629 |
|---|---|
| Medicare Enrollment ID | O20040421000850 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255537957 | NPI | - | NPPES |
| A66709 | Other | CA | CA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (California) | Primary |
| Provider Name | Kenneth P Martinez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093825259 PECOS PAC ID: 1153317656 Enrollment ID: I20040422001240 |
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