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NPI Code Detail

MEDICARE: SARA MARTINEZ

MEDICARE: SARA 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
1101YP2500XProfessional Counselor22152CA
2106H00000XMarriage & Family Therapist162143CA

General Provider Information

NPI Number : 1285172403
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA MARTINEZ
Provider Business Mailing Address
First Line : 3200 MOTOR AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-3740
Country : US
Telephone Number : 310-836-1223
Fax Number : 310-842-9529
Provider Business Practice Location Address
First Line : 3200 MOTOR AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-3740
Country : US
Telephone Number : 310-836-1223
Fax Number : 310-842-9529
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2017
Last Update Date : 06/12/2026

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Directions to “ SARA MARTINEZ ” Practice Location

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