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NPI Code Detail

MEDICARE: DIANA NICOLE MARTINEZ

MEDICARE: DIANA NICOLE 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 Program
2373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1831071232
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA NICOLE MARTINEZ
Provider Business Mailing Address
First Line : 11731 TELEGRAPH RD STE G
Second Line :
City : SANTA FE SPRINGS
State : CA
Zip : 90670-6819
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11731 TELEGRAPH RD STE G
Second Line :
City : SANTA FE SPRINGS
State : CA
Zip : 90670-6819
Country : US
Telephone Number : 562-949-8455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2025
Last Update Date : 03/16/2026

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Directions to “ DIANA NICOLE 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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