Provider Demographics
NPI:1043849466
Name:MARTINEZ, ERIC MIGUEL (DO)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:MIGUEL
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1322 N CURSON AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-3425
Mailing Address - Country:US
Mailing Address - Phone:646-429-2064
Mailing Address - Fax:
Practice Address - Street 1:7230 MEDICAL CENTER DR STE 500
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-4024
Practice Address - Country:US
Practice Address - Phone:818-348-7246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-07
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A222282081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine