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NPI Code Detail

MEDICARE: LUZ MARTIR

MEDICARE: LUZ MARTIR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2106H00000XMarriage & Family Therapist113564CA

General Provider Information

NPI Number : 1134377476
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUZ MARTIR
Provider Business Mailing Address
First Line : 3730 HOPYARD RD STE 103
Second Line :
City : PLEASANTON
State : CA
Zip : 94588-8510
Country : US
Telephone Number : 925-560-5880
Fax Number :
Provider Business Practice Location Address
First Line : 600 BERCUT DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95811-0131
Country : US
Telephone Number : 916-440-1500
Fax Number : 916-440-1514
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2008
Last Update Date : 03/12/2025

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Directions to “ LUZ MARTIR ” Practice Location

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