Individual
MARILOU TERPENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
528 PALISADES DR, #537, PACIFIC PALISADES, CA 90272-2844
(310) 995-3758
(310) 995-3758
Mailing address
528 PALISADES DR, #537, PACIFIC PALISADES, CA 90272-2844
(310) 995-3758
(310) 995-3758
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G39425
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G39425
CALIFORNIA LICENSE
CA
05
—
G394250
—
CA
05
—
GR0085740
—
CA
Enumeration date
02/22/2006
Last updated
03/07/2023
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