Provider Information for 1114104338
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
MIRNA ELIZABETH MARTINEZ SERRANO LCSW
Sex: Female
NPI: 1114104338
Last Updated: 2024-10-31
Certification Date: 2024-10-31
Certification Date: 2024-10-31
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1114104338 | ||||||||||||
| Enumeration Date | 2008-01-30 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 7222 DE PALMA ST DOWNEY, CA 90241-4323 United States Phone: 562-477-2870 | Fax: | ||||||||||||
| Primary Practice Address | 7222 DE PALMA ST DOWNEY, CA 90241-4323 United States Phone: 562-477-2870 | Fax: | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|