Miss Kassandra Martinez, is a
Student In An Organized Health Care Education/training Program based in San Diego, California. Miss Kassandra Martinez is licensed to practice in * (Not Available) (license number ) and her current practice location is
3020 Childrens Way # Mc5018, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(858) 966-5832.
NPI number for Miss Kassandra Martinez is 1124642020 and her current mailing address is 3869 Miramar St # 2211, La Jolla, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124642020.
Healthcare Provider's Profile
| Full Name | Miss Kassandra Martinez |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 3020 Childrens Way # Mc5018, San Diego, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124642020
- Provider Enumeration Date: 06/05/2020
- Last Update Date: 06/05/2020
Medical Identifiers
Medical identifiers for Miss Kassandra Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124642020 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Kassandra Martinez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Miss Kassandra Martinez,
3869 Miramar St # 2211,
La Jolla, CA 92037-1303
Ph: (915) 667-0411 | Miss Kassandra Martinez,
3020 Childrens Way # Mc5018,
San Diego, CA 92123-4223
Ph: (858) 966-5832 |
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