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NPI Code Detail

MEDICARE: STEPHANIE J MARTINEZ MD

MEDICARE: STEPHANIE J MARTINEZ MD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1437092103
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE J MARTINEZ MD
Provider Business Mailing Address
First Line : 17234 VALLEY BLVD
Second Line : BUILDING A
City : FONTANA
State : CA
Zip : 92335-6720
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17234 VALLEY BLVD
Second Line : BUILDING A
City : FONTANA
State : CA
Zip : 92335-6720
Country : US
Telephone Number : 909-427-4128
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 05/06/2026

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