Healthcare Provider Details

I. General information

NPI: 1164369898
Provider Name (Legal Business Name): TINY POKES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1885 W 20TH ST
LOS ANGELES CA
90007-1123
US

IV. Provider business mailing address

1885 W 20TH ST
LOS ANGELES CA
90007-1123
US

V. Phone/Fax

Practice location:
  • Phone: 213-282-0456
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name: MARGARITA MARTINEZ
Title or Position: CEO
Credential:
Phone: 213-282-0456