Individual
MANUEL IVAN MARROQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDM
Contact information
Practice address
6500 WILSHIRE BLVD, LOS ANGELES, CA 90048-4920
(424) 315-1042
Mailing address
12503 JERSEY AVE, NORWALK, CA 90650-2321
(949) 836-0030
Taxonomy
Speciality
Code
Description
License number
State
1744R1102X
Research Study Specialist
Primary
—
CA
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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