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Contact Information

PRIEST MARTINEZ
6300 E HWY 20 UNIT B
LUCERNE, CA95458
 Phone: 707-274-5610
 Fax: 707-600-1325
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for PRIEST MARTINEZ · (Male)

NPI Number 1043774193
Status Active
Credentials
Entity Individual
Enumeration date 01/23/2019
Last updated 01/23/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # R8725
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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