Martinez, Antonia

Martinez, Antonia is an individual health care provider with primary practice located at 233 Baseline Rd , La Verne CA 91750-2353. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Martinez, Antonia can be contacted via phone (909) 593-2581.

Contact Information

Primary practice address
233 Baseline Rd La Verne CA 91750-2353
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1417157504
LBN Legal business name Martinez, Antonia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2007
Last updated May 2nd, 2018 - about 6 years ago

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 1417157504 NPPES
California Other 7565A OUTPATIENT MENTAL HEALTH

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