Provider Demographics
NPI:1922874718
Name:MARTINEZ, CRISTINA C (RN)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:C
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13910 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90604-2559
Mailing Address - Country:US
Mailing Address - Phone:562-233-6235
Mailing Address - Fax:
Practice Address - Street 1:1000 S FREMONT AVE UNIT 22
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-8847
Practice Address - Country:US
Practice Address - Phone:213-364-9847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95099210163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management