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NPI Code Detail

MEDICARE: DR. FRANCINE M MARTINEZ PH.D.

MEDICARE: DR. FRANCINE M MARTINEZ PH.D.
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
1103T00000XPsychologistPSY23099CA

General Provider Information

NPI Number : 1942590815
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANCINE M MARTINEZ PH.D.
Provider Business Mailing Address
First Line : 10940 HASBROOK RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92131-3664
Country : US
Telephone Number : 619-540-4004
Fax Number :
Provider Business Practice Location Address
First Line : 1016 OUTER RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92154-1351
Country : US
Telephone Number : 619-429-3733
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2011
Last Update Date : 07/01/2011

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