Individual
DR. GEOFFREY SCOTT MARECEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 SAN PABLO ST, SUITE 2000, LOS ANGELES, CA 90033-5310
(323) 442-5860
Mailing address
PO BOX 512717, LOS ANGELES, CA 90051-0717
(310) 423-4566
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A125781
CA
207X00000X
Orthopaedic Surgery Physician
MD60261133
WA
207XX0801X
Orthopaedic Trauma Physician
A125781
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0293828
L&I
WA
05
—
1114183472
—
WA
01
—
A125781
CA MEDICAL LICENSE
CA
Enumeration date
08/05/2008
Last updated
05/11/2020
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