MEDICARE: MISS DULCE MARIA MARTINEZ

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1386395242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS DULCE MARIA MARTINEZ

Provider Business Mailing Address
First Line	:	622 1/2 WEST 40TH PKACE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90037
Country	:	US
Telephone Number	:	424-312-2362
Fax Number	:

Provider Business Practice Location Address
First Line	:	8616 LA TIJERA BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-3944
Country	:	US
Telephone Number	:	310-337-7827
Fax Number	:	310-377-7840

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2022
Last Update Date	:	06/02/2026

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Directions to “ MISS DULCE MARIA MARTINEZ ” Practice Location

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