Individual
CATHLEEN JAN DOLORES MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 526, LOS ANGELES, CA 90095-8358
(310) 206-6294
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95031041
CA
363LA2200X
Adult Health Nurse Practitioner
95031041
CA
Other
Enumeration date
07/11/2024
Last updated
11/01/2024
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