Individual provider · Type 1 NPI

Kassandra Martinez

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1124642020 Active

Practice location

3020 Childrens Way # MC5018
San Diego, CA 92123-4223

Call (858) 966-5832 Map

Mailing address

3869 Miramar St # 2211
La Jolla, CA 92037-1303

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124642020

Kassandra Martinez's National Provider Identifier is 1124642020, issued on Jun 5, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Jun 5, 2020.