Healthcare Provider Details

I. General information

NPI: 1588324008
Provider Name (Legal Business Name): SAHAR MARTINEZ PSY.D, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/23/2021
Last Update Date: 12/23/2021
Certification Date: 12/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19712 MACARTHUR BLVD STE 215
IRVINE CA
92612-2407
US

IV. Provider business mailing address

19712 MACARTHUR BLVD STE 215
IRVINE CA
92612-2407
US

V. Phone/Fax

Practice location:
  • Phone: 949-287-3937
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number111456
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: