Healthcare Provider Details

I. General information

NPI: 1568589950
Provider Name (Legal Business Name): MONICA NOEMI MARTINEZ LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 CONCOURS STE 8102
ONTARIO CA
91764-5522
US

IV. Provider business mailing address

PO BOX 7608
ALHAMBRA CA
91802-7608
US

V. Phone/Fax

Practice location:
  • Phone: 909-295-5805
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number104997
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: