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NPI Code Detail

MEDICARE: JORGE MARTINEZ

MEDICARE: JORGE 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
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1467309427
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORGE MARTINEZ
Provider Business Mailing Address
First Line : 16500 VENTURA BLVD STE 414
Second Line :
City : ENCINO
State : CA
Zip : 91436-5050
Country : US
Telephone Number : 818-788-1003
Fax Number :
Provider Business Practice Location Address
First Line : 16500 VENTURA BLVD STE 414
Second Line :
City : ENCINO
State : CA
Zip : 91436-5050
Country : US
Telephone Number : 818-788-1003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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Directions to “ JORGE MARTINEZ ” 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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