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NPI Code Detail

MEDICARE: GLADIS ROCIO MARTIN

MEDICARE: GLADIS ROCIO MARTIN
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
11041C0700XClinical Social Worker87219CA

General Provider Information

NPI Number : 1285018705
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLADIS ROCIO MARTIN
Provider Business Mailing Address
First Line : 760 MOUNTAIN VIEW ST
Second Line :
City : ALTADENA
State : CA
Zip : 91001-4996
Country : US
Telephone Number : 626-491-2998
Fax Number :
Provider Business Practice Location Address
First Line : 760 MOUNTAIN VIEW ST
Second Line :
City : ALTADENA
State : CA
Zip : 91001-4996
Country : US
Telephone Number : 626-491-2998
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2015
Last Update Date : 06/26/2025

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Directions to “ GLADIS ROCIO MARTIN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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