Individual
ERICA SUZANNE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 120, LOS ANGELES, CA 90095-0609
(310) 206-6909
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95016303
CA
363LF0000X
Family Nurse Practitioner
95016303
CA
Other
Enumeration date
12/23/2020
Last updated
11/09/2023
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