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Erica Suzanne Martinez

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

200 Ucla Medical Plz Ste 120, Los Angeles, CA 90095-0609

PECOS Enrollment

This provider is enrolled in PECOS as ERICA MARTINEZ.

Based on the most recent information from CMS, provider Erica Suzanne Martinez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:47 AM.

Profile Details

Provider ID
1225625221
Provider Type
Individual
Full Name
Martinez, Erica Suzanne
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
12/23/2020
Last Updated
11/9/2023

Contact Information

Practice Location

200 Ucla Medical Plz Ste 120, Los Angeles, CA 90095-0609

(310) 206-6909

Unlisted Fax

Mailing Location

5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631

(310) 301-8707

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 95016303 California
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 95016303 California

Erica Suzanne Martinez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Lee, Soo-Min S

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