Individual ProviderJoyleen MartinezNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address10833 Le Conte Ave, Los Angeles, CA 90095-3075(310) 825-9820(310) 206-2429PECOS EnrollmentBased on the most recent information from CMS, provider Joyleen Martinez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 10 days ago.Profile DetailsProvider ID1962437913Provider TypeIndividualFull NameMartinez, JoyleenCredentialNPGenderFemaleSole ProprietorNoEnumeration Date7/11/2006Last Updated5/4/2011Contact InformationPractice LocationPractice Address10833 Le Conte Ave, Los Angeles, CA 90095-3075Phone(310) 825-9820FaxUnlisted FaxMailing LocationMailing Address5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631Phone(310) 206-2429FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LA2100XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseNP9349CaliforniaCode363LA2100XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN359564CaliforniaCode2080P0202XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseRN359564CaliforniaCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseNP9349CaliforniaProvider IdentifiersIDDescriptionIssuerIDRN359564DescriptionMedicaidIssuerUnlistedCalifornia