Provider Demographics
NPI:1104156579
Name:MARTINEZ, FERNANDO OL (, HAD)
Entity type:Individual
Prefix:MR
First Name:FERNANDO
Middle Name:OL
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:, HAD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5912 BOLSA AVE
Mailing Address - Street 2:STE 201
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-1146
Mailing Address - Country:US
Mailing Address - Phone:714-898-5732
Mailing Address - Fax:
Practice Address - Street 1:1821 SARATOGA AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-6606
Practice Address - Country:US
Practice Address - Phone:408-343-1063
Practice Address - Fax:408-343-1095
Is Sole Proprietor?:No
Enumeration Date:2010-01-07
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAHAD 7483237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist