Provider Demographics
NPI:1447870654
Name:MARTINEZ, EDWIN SALES
Entity type:Individual
Prefix:
First Name:EDWIN
Middle Name:SALES
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30500 ARRASTRE CANYON RD
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:CA
Mailing Address - Zip Code:93510-2160
Mailing Address - Country:US
Mailing Address - Phone:661-223-8800
Mailing Address - Fax:661-269-4507
Practice Address - Street 1:30500 ARRASTRE CANYON RD
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:CA
Practice Address - Zip Code:93510-2160
Practice Address - Country:US
Practice Address - Phone:661-223-8800
Practice Address - Fax:661-269-4507
Is Sole Proprietor?:No
Enumeration Date:2020-04-17
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other