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NPI Code Detail

MEDICARE: DESTINY MARTINEZ

MEDICARE: DESTINY MARTINEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1114879095
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESTINY MARTINEZ
Provider Business Mailing Address
First Line : 100 N PACIFIC COAST HWY STE 1400
Second Line :
City : EL SEGUNDO
State : CA
Zip : 90245-5602
Country : US
Telephone Number : 951-357-6926
Fax Number :
Provider Business Practice Location Address
First Line : 1313 CHICAGO AVE STE 200
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-2087
Country : US
Telephone Number : 951-357-6926
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2026
Last Update Date : 02/12/2026

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Directions to “ DESTINY MARTINEZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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