Healthcare Provider Details

I. General information

NPI: 1760512958
Provider Name (Legal Business Name): MARTHA GUERRERI SPINALI LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 E VALLEY PKWY
ESCONDIDO CA
92025-3008
US

IV. Provider business mailing address

16320 AVENIDA VENUSTO UNIT B
SAN DIEGO CA
92128-3239
US

V. Phone/Fax

Practice location:
  • Phone: 760-740-4000
  • Fax: 760-740-4003
Mailing address:
  • Phone: 858-592-0605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number169483
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: