Provider Demographics
NPI:1659749513
Name:MARTINEZ, ADRIANA GUADALUPE (BA)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:GUADALUPE
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:ADRIANA
Other - Middle Name:GUADALUPE
Other - Last Name:NAJARRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2806 HEMLOCK RD
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-6108
Mailing Address - Country:US
Mailing Address - Phone:818-422-3543
Mailing Address - Fax:
Practice Address - Street 1:2806 HEMLOCK RD
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-6108
Practice Address - Country:US
Practice Address - Phone:818-422-3543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner