Provider Demographics
NPI:1578384962
Name:MARTINEZ, CHRISTIAN ADRAIN SR (CPT-02370944)
Entity type:Individual
Prefix:MR
First Name:CHRISTIAN
Middle Name:ADRAIN
Last Name:MARTINEZ
Suffix:SR
Gender:M
Credentials:CPT-02370944
Other - Prefix:
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Mailing Address - Street 1:1752 E LUGONIA AVE STE 117
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-2731
Mailing Address - Country:US
Mailing Address - Phone:909-244-2611
Mailing Address - Fax:
Practice Address - Street 1:1752 E LUGONIA AVE STE 117
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-2731
Practice Address - Country:US
Practice Address - Phone:909-244-2611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy