# MARQUE MEDICAL CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marque Urgent Care, Inc.-Newport Beach
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538466107
- **Authorized official:** DR. NATHAN ARON KISKILA MD (PRESIDENT)
- **Authorized official phone:** (949) 760-9222

## Contact information

- **Practice address:** 2075 SAN JOAQUIN HILLS RD, NEWPORT BEACH, CA 92660-6505
- **Practice address phone:** (949) 760-9222
- **Practice address fax:** (949) 644-4312
- **Mailing address:** 2075 SAN JOAQUIN HILLS RD, NEWPORT BEACH, CA 92660-6505
- **Mailing address phone:** (949) 760-9222
- **Mailing address fax:** (949) 644-4312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | A104532 | CA | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/17/2011
- **Last updated:** 05/31/2016