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NPI Code Detail

MEDICARE: JAYLA MARTINEZ

MEDICARE: JAYLA 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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1700405867
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYLA MARTINEZ
Provider Business Mailing Address
First Line : 2764 RAMBLING VISTA RD
Second Line :
City : CHULA VISTA
State : CA
Zip : 91915
Country : US
Telephone Number : 619-746-5864
Fax Number :
Provider Business Practice Location Address
First Line : 5400 KEARNY MESA RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-1303
Country : US
Telephone Number : 619-717-2363
Fax Number : 619-866-4213
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2020
Last Update Date : 02/14/2022

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Directions to “ JAYLA MARTINEZ ” Practice Location

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