Provider Demographics
NPI:1902924632
Name:MARTINEZ, NUBIA CATALINA (BA, PPSC, MSW)
Entity Type:Individual
Prefix:MRS
First Name:NUBIA
Middle Name:CATALINA
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:BA, PPSC, MSW
Other - Prefix:MISS
Other - First Name:NUBIA
Other - Middle Name:CATALINA
Other - Last Name:MAGANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA, PPSC, MSW
Mailing Address - Street 1:6651 BALBOA BLVD
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-5529
Mailing Address - Country:US
Mailing Address - Phone:818-758-2300
Mailing Address - Fax:818-996-9850
Practice Address - Street 1:6651 BALBOA BLVD
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-5529
Practice Address - Country:US
Practice Address - Phone:818-758-2300
Practice Address - Fax:818-996-9850
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical