Provider Demographics
NPI:1801045398
Name:MARTINEZ, DELMY
Entity Type:Individual
Prefix:
First Name:DELMY
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DELMY
Other - Middle Name:ARACELY
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8019 S. COMPTON AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90001
Mailing Address - Country:US
Mailing Address - Phone:323-586-7333
Mailing Address - Fax:310-436-6108
Practice Address - Street 1:10241 COMMERCE AVE
Practice Address - Street 2:APT#12
Practice Address - City:TUJUNGA
Practice Address - State:CA
Practice Address - Zip Code:91042
Practice Address - Country:US
Practice Address - Phone:818-903-4914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner