Individual
JOSE PORFIRIO CORONA-MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(213) 258-7455
Mailing address
6041 BRISTOL PKWY STE 100, CULVER CITY, CA 90230-6601
(213) 258-7455
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
CA
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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