# LUIS MARMANILLO-ALCAZAR, M.D.,INC.

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

## Provider details

- **NPI number:** 1780987537
- **Authorized official:** MR. LUIS JORGE MARMANILLO M.D. (OFFICE MANAGER)
- **Authorized official phone:** (619) 585-7117

## Contact information

- **Practice address:** 340 4TH AVE, SUITE 17, CHULA VISTA, CA 91910-3813
- **Practice address phone:** (619) 585-7117
- **Practice address fax:** (619) 585-7146
- **Mailing address:** 340 4TH AVE, SUITE 17, CHULA VISTA, CA 91910-3813
- **Mailing address phone:** (619) 585-7117
- **Mailing address fax:** (619) 585-7146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | — | NULL | Yes |
| 207VX0000X | Obstetrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/17/2010
- **Last updated:** 08/15/2011