Healthcare Provider Details

I. General information

NPI: 1205773934
Provider Name (Legal Business Name): MARGARITA MARTINEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

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

8505 S EVERMONT PL APT 5116
LOS ANGELES CA
90044-1069
US

IV. Provider business mailing address

8505 S EVERMONT PL APT 5116
LOS ANGELES CA
90044-1069
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 StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: