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1972054369 NPI number — CRISTINA BELEN MARTINEZ MSW, MPH

NPI Number: 1972054369
Health Care Provider/Practitioner: CRISTINA BELEN MARTINEZ MSW, MPH

Information about “1972054369” NPI (CRISTINA BELEN MARTINEZ MSW, MPH) exists in 1972054369 in HTML format HTML  |  1972054369 in plain Text format TXT  |  1972054369 in PDF (Portable Document Format) PDF  |  1972054369 in an XML format XML  formats.

NPI Number : 1972054369 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972054369",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARTINEZ",
    "FirstName": "CRISTINA",
    "MiddleName": "BELEN",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "MSW, MPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 1486",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MONROVIA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91017-1486",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "626-260-6100",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "669 W 34TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90089-4117",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "213-740-2711",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/20/2016",
    "LastUpdateDate": "12/10/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "10/08/2019",
    "NPIReactivationDate": "02/09/2021",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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