Provider Demographics
NPI:1124386727
Name:MARTINEZ ORELLANA, NANCY ROSEMARY (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:ROSEMARY
Last Name:MARTINEZ ORELLANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3108 GLENDALE BLVD # 465
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90039-1806
Mailing Address - Country:US
Mailing Address - Phone:213-534-6436
Mailing Address - Fax:
Practice Address - Street 1:3108 GLENDALE BLVD # 465
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90039-1806
Practice Address - Country:US
Practice Address - Phone:213-534-6436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1296012084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry