MEDICARE: MISS MONICA NOEMI MARTINEZ LMFT

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
1	106H00000X	Marriage & Family Therapist	104997	CA

General Provider Information

NPI Number	:	1568589950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MONICA NOEMI MARTINEZ LMFT

Provider Business Mailing Address
First Line	:	PO BOX 7608
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91802-7608
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 CONCOURS STE 8102
Second Line	:
City	:	ONTARIO
State	:	CA
Zip	:	91764-5522
Country	:	US
Telephone Number	:	909-295-5805
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	05/06/2026

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