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NPI Code Detail

MEDICARE: ELIZABETH MARTINEZ

MEDICARE: ELIZABETH 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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1952178816
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH MARTINEZ
Provider Business Mailing Address
First Line : 5429 LAKE MURRAY BLVD UNIT 14
Second Line :
City : LA MESA
State : CA
Zip : 91942-1546
Country : US
Telephone Number : 505-453-2078
Fax Number :
Provider Business Practice Location Address
First Line : 4010 MORENA BLVD STE 103
Second Line :
City : SAN DIEGO
State : CA
Zip : 92117-4547
Country : US
Telephone Number : 619-832-9851
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2023
Last Update Date : 07/29/2025

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Directions to “ ELIZABETH MARTINEZ ” Practice Location

Language Start Address Practice Location
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