Individual
RANDY MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10568 MAGNOLIA AVE STE 102, ANAHEIM, CA 92804-5864
(562) 889-4256
Mailing address
2043 SAN FRANCISCO AVE, LONG BEACH, CA 90806-4146
(562) 889-4256
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
CA
103TP0814X
Psychoanalysis Psychologist
—
CA
103TS0200X
School Psychologist
Primary
—
CA
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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