MEDICARE: JOCELYN XIOMARA 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	106H00000X	Marriage & Family Therapist	LMFT163602	CA

General Provider Information

NPI Number	:	1427661826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOCELYN XIOMARA MARTINEZ

Provider Business Mailing Address
First Line	:	6612 3RD AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90043-4550
Country	:	US
Telephone Number	:	213-815-3320
Fax Number	:

Provider Business Practice Location Address
First Line	:	6612 3RD AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90043-4550
Country	:	US
Telephone Number	:	213-815-3320
Fax Number	:

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

Provider Enumeration Date	:	08/25/2020
Last Update Date	:	06/11/2026

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