Martinez, Andrea Anahi

Martinez, Andrea Anahi is an individual health care provider with primary practice located at 17053 Foothill Blvd , Fontana CA 92335-3574. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Martinez, Andrea Anahi can be contacted via phone (909) 347-1300.

Contact Information

Primary practice address
17053 Foothill Blvd Fontana CA 92335-3574
Phone: (909) 347-1300
Fax: (909) 347-1302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X ASW109659 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ASW109658 California

Profile Details

NPI number 1336764430
LBN Legal business name Martinez, Andrea Anahi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2020
Last updated Dec 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336764430 NPPES
California MEDICAID 20160500162100

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