IndividualActive
Lorena Vivanco De Martinez, M.D.
NPI 1407927262 · Child Abuse Pediatrics Physician · San Diego, CA
Provider details
- NPI number
- 1407927262
- Entity type
- Individual
- Primary specialty
- Child Abuse Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- A73493 (CA)
Practice location
3665 Kearny Villa Rd
Ste 501
San Diego, CA 92123-1953
Phone: (858) 966-5803
Mailing address
3020 Childrens Way # Mc5159
San Diego, CA 92123-4223
Registry dates
- Enumerated
- 2006-11-13
- Last updated
- 2017-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.