Individual
MRS. IRESH C MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
2501 COLORADO BLVD STE H, LOS ANGELES, CA 90041-1055
(323) 340-3962
(323) 340-3963
Mailing address
2501 COLORADO BLVD STE H, LOS ANGELES, CA 90041-1055
(323) 340-3962
(323) 340-3963
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
467635
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
467635
REGISTERED NURSE LICENSE
CA
Enumeration date
04/24/2007
Last updated
07/08/2007
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