DAVID ANTHONY MARTINEZ CCDC NPI 1124202817

NPI Information

  • NPI: 1124202817
  • Provider Name: DAVID ANTHONY MARTINEZ, CCDC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 11900 S. AVALON BLVD
    1
    LOS ANGELES, CA
    ZIP 90061
  • Phone: (323) 242-0500

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NPI Details

David Anthony Martinez, CCDC is an addiction (substance use disorder) counselor in Los Angeles, CA. David Anthony Martinez, CCDC NPI is 1124202817. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11900 S. AVALON BLVD
1
LOS ANGELES, CA
ZIP 90061
Phone: (323) 242-0500
Fax: (323) 242-0600

The enumeration date for this NPI number is 12/18/2007 and was last updated on 9/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P122OTHERCALIFORNIAP122

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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