MEDICARE: JOCELYN MARTINEZ LMT MMT

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
1	225700000X	Massage Therapist	29920	CA

General Provider Information

NPI Number	:	1952106767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOCELYN MARTINEZ LMT MMT

Provider Business Mailing Address
First Line	:	8898 SHAWNEE ST
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92503-5729
Country	:	US
Telephone Number	:	951-283-7648
Fax Number	:

Provider Business Practice Location Address
First Line	:	2410 WARDLOW RD STE 104
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92878-5192
Country	:	US
Telephone Number	:	951-283-7648
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2025
Last Update Date	:	02/17/2025

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