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NPI Code Detail

MEDICARE: ALAN ESTEBAN MARTINES ASW

MEDICARE:   ALAN ESTEBAN MARTINES  ASW
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
11041C0700XClinical Social WorkerCA

General Provider Information

NPI Number : 1538964432
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN ESTEBAN MARTINES ASW
Provider Business Mailing Address
First Line : 412 E 60TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90003-1330
Country : US
Telephone Number : 323-616-3874
Fax Number :
Provider Business Practice Location Address
First Line : 412 E 60TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90003-1330
Country : US
Telephone Number : 323-616-3874
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2025
Last Update Date : 06/01/2026

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Directions to “ ALAN ESTEBAN MARTINES ASW” Practice Location

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