Provider Demographics
NPI:1447492889
Name:MARTINEZ-MURGUIA, IRENE (PA-C)
Entity type:Individual
Prefix:MS
First Name:IRENE
Middle Name:
Last Name:MARTINEZ-MURGUIA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-1518
Mailing Address - Country:US
Mailing Address - Phone:619-280-4213
Mailing Address - Fax:619-616-2104
Practice Address - Street 1:217 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-1518
Practice Address - Country:US
Practice Address - Phone:619-280-4213
Practice Address - Fax:619-616-2104
Is Sole Proprietor?:No
Enumeration Date:2009-03-31
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA20296363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant