Healthcare Provider Details

I. General information

NPI: 1568184737
Provider Name (Legal Business Name): GIOVANNA MONTSERRATT MARTINEZ OKOLI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: GIOVANNA MONTSERRATT MARTINEZ GALVAN

II. Dates (important events)

Enumeration Date: 09/14/2022
Last Update Date: 09/14/2022
Certification Date: 09/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E TRUXTUN AVE STE B
BAKERSFIELD CA
93305-5660
US

IV. Provider business mailing address

300 E TRUXTUN AVE STE B
BAKERSFIELD CA
93305-5660
US

V. Phone/Fax

Practice location:
  • Phone: 661-852-5659
  • Fax:
Mailing address:
  • Phone: 661-852-5659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: