Provider Demographics
NPI:1972054369
Name:MARTINEZ, CRISTINA BELEN (MSW, MPH)
Entity Type:Individual
Prefix:MS
First Name:CRISTINA
Middle Name:BELEN
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:MSW, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1486
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91017-1486
Mailing Address - Country:US
Mailing Address - Phone:626-260-6100
Mailing Address - Fax:
Practice Address - Street 1:669 W 34TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90089-4117
Practice Address - Country:US
Practice Address - Phone:213-740-2711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-20
Last Update Date:2021-12-10
Deactivation Date:2019-10-08
Deactivation Code:
Reactivation Date:2021-02-09
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker