Martinez, Daniel Thomas

Martinez, Daniel Thomas is an sole proprietor health care provider with primary practice located at 14319 Ramona Blvd , Baldwin Park CA 91706-3242. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Martinez, Daniel Thomas can be contacted via phone (626) 960-8655.

Contact Information

Primary practice address
14319 Ramona Blvd Baldwin Park CA 91706-3242
Fax: (626) 960-7802
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 8276T California

Profile Details

NPI number 1184688004
LBN Legal business name Martinez, Daniel Thomas
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2006
Last updated May 29th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184688004 NPPES
California MEDICAID SD0082760

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