Provider Demographics
NPI:1982192514
Name:MARTINEZ, VERONICA E
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:E
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9481 HANFORD ST
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93004-0704
Mailing Address - Country:US
Mailing Address - Phone:805-509-8284
Mailing Address - Fax:
Practice Address - Street 1:9481 HANFORD ST
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93004-0704
Practice Address - Country:US
Practice Address - Phone:805-509-8284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-30
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit