Blanca Martinez-Avila

Individual provider Active NPI Community Health Worker · Lake Isabella, CA

NPI 1821782467 · NPPES record last updated Aug 16, 2023

Key facts

NPI
1821782467
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
2731 Nugget Ave
Lake Isabella, CA 93240-9456
Phone
(760) 379-3412
Fax
(760) 379-5332
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Community Health Worker 172V00000X CA Yes

Addresses

Primary practice location

2731 Nugget Ave
Lake Isabella, CA 93240-9456

Mailing address

2731 Nugget Ave
Lake Isabella, CA 93240-9456
Phone (760) 379-3412

Other providers in Lake Isabella, CA

All providers in Lake Isabella, CA · Community Health Worker in California

Sources for this page

Verify at the official NPI Registry.