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General NPI Number Information
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NPI Number | 1770487050
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Entity Type | Individual
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Provider Name | FABIOLA MARTINEZ RRT-NPS, RRT-ACCS
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Gender | Female
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 1250 16TH ST
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City | SANTA MONICA
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State | CA
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Zip | 90404-1249
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Country | US
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Telephone | 424-259-8901
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 16TH ST
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City | SANTA MONICA
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State | CA
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Zip | 90404-1249
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Country | US
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Telephone | 424-259-8900
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2279P3900X
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Taxonomy Name | Neonatal/Pediatric Registered Respiratory Therapist
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License Number | 39360
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License Number State | CA
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