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NPI Code Detail

MEDICARE: BRIANA NADINE MARTINEZ

MEDICARE: BRIANA NADINE 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
1390200000XStudent in an Organized Health Care Education/Training ProgramAUD-RPE-000298CA

General Provider Information

NPI Number : 1821981382
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANA NADINE MARTINEZ
Provider Business Mailing Address
First Line : 137 N 20TH ST
Second Line :
City : MONTEBELLO
State : CA
Zip : 90640-4040
Country : US
Telephone Number : 323-804-4991
Fax Number :
Provider Business Practice Location Address
First Line : 1050 PACIFIC COAST HWY
Second Line :
City : HARBOR CITY
State : CA
Zip : 90710-3500
Country : US
Telephone Number : 833-574-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2025
Last Update Date : 06/02/2025

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Directions to “ BRIANA NADINE MARTINEZ ” Practice Location

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