# MICHELLE A MARINE MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619203957
- **Authorized official:** MICHELLE A MARINE MD (PHYSICIAN/AUTH OFFICIAL)
- **Authorized official phone:** (805) 371-8775

## Contact information

- **Practice address:** 77 ROLLING OAKS DR, SUITE 306, THOUSAND OAKS, CA 91361-1011
- **Practice address phone:** (805) 371-8775
- **Practice address fax:** (805) 379-3711
- **Mailing address:** 77 ROLLING OAKS DR STE 306, THOUSAND OAKS, CA 91361-1013
- **Mailing address phone:** (805) 371-8775
- **Mailing address fax:** (805) 379-3711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/21/2009
- **Last updated:** 11/18/2025