Healthcare Provider Details
I. General information
NPI: 1497547376
Provider Name (Legal Business Name): CLAUDIA MARTINEZ ORTIZ M.S. COUNSELING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/19/2025
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
804 COOPER RD
OXNARD CA
93030-5430
US
IV. Provider business mailing address
804 COOPER RD
OXNARD CA
93030-5430
US
V. Phone/Fax
- Phone: 805-385-1569
- Fax:
- Phone: 805-385-1569
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | 240198095 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: