Healthcare Provider Details

I. General information

NPI: 1528996154
Provider Name (Legal Business Name): DAVID MARTINEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7422 GARVEY AVE UNIT 204
ROSEMEAD CA
91770-2974
US

IV. Provider business mailing address

7203 VANPORT AVE
WHITTIER CA
90606-1854
US

V. Phone/Fax

Practice location:
  • Phone: 626-531-6999
  • Fax: 626-531-6998
Mailing address:
  • Phone: 626-531-6999
  • Fax: 626-531-6998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: