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NPI Code Detail

MEDICARE: MARIA DE LOS ANGELES MARTINEZ MS

MEDICARE:   MARIA DE LOS ANGELES MARTINEZ  MS
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
1106H00000XMarriage & Family TherapistIMF 64885CA
2106H00000XMarriage & Family TherapistLMFT107316CA

General Provider Information

NPI Number : 1972805729
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA DE LOS ANGELES MARTINEZ MS
Provider Business Mailing Address
First Line : 4095 COUNTY CIRCLE DR
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503
Country : US
Telephone Number : 760-863-8455
Fax Number :
Provider Business Practice Location Address
First Line : 44199 MONROE ST STE B
Second Line :
City : INDIO
State : CA
Zip : 92201-3094
Country : US
Telephone Number : 760-863-2571
Fax Number : 951-784-4976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2010
Last Update Date : 07/30/2024

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Directions to “ MARIA DE LOS ANGELES MARTINEZ MS” Practice Location

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