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NPI Code Detail

MEDICARE: MRS. BEVERLY MARTINEZ LMFT

MEDICARE: MRS. BEVERLY MARTINEZ LMFT
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
1106H00000XMarriage & Family Therapist159845CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
195-2633765OTHERCAMEDICAL

General Provider Information

NPI Number : 1467722785
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BEVERLY MARTINEZ LMFT
Provider Business Mailing Address
First Line : 6277 LONGHILL ST
Second Line :
City : RIVERSIDE
State : CA
Zip : 92504-1512
Country : US
Telephone Number : 562-735-9033
Fax Number :
Provider Business Practice Location Address
First Line : 6277 LONGHILL ST
Second Line :
City : RIVERSIDE
State : CA
Zip : 92504-1512
Country : US
Telephone Number : 562-735-9033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2012
Last Update Date : 12/05/2025

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