Healthcare Provider Details

I. General information

NPI: 1255289088
Provider Name (Legal Business Name): MARTHA CHIRINOS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10620 SCHMIDT RD
EL MONTE CA
91733-2702
US

IV. Provider business mailing address

1362 N 13TH AVE
UPLAND CA
91786-3408
US

V. Phone/Fax

Practice location:
  • Phone: 626-652-4600
  • Fax:
Mailing address:
  • Phone: 626-652-4600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: