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NPI Code Detail

MEDICARE: MICHELE MARTINEZ

MEDICARE:   MICHELE  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
1225400000XRehabilitation Practitioner
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1538600556
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE MARTINEZ
Provider Business Mailing Address
First Line : 9140 VAN NUYS BLVD
Second Line :
City : PANORAMA CITY
State : CA
Zip : 91402-6727
Country : US
Telephone Number : 818-895-2206
Fax Number :
Provider Business Practice Location Address
First Line : 9140 VAN NUYS BLVD
Second Line :
City : PANORAMA CITY
State : CA
Zip : 91402-6727
Country : US
Telephone Number : 818-895-2206
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2017
Last Update Date : 06/11/2020

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Directions to “ MICHELE MARTINEZ ” Practice Location

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