Individual
DR. LOUIS EDWARD MARCHIOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15040 IMPERIAL HWY, LA MIRADA, CA 90638-1301
(562) 902-1014
(562) 902-1015
Mailing address
15040 IMPERIAL HWY, LA MIRADA, CA 90638-1301
(562) 902-1014
(562) 902-1015
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
C35395
CA
207KA0200X
Allergy Physician
C35395
CA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
C35395
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
953063755
TAX ID #
CA
Enumeration date
08/19/2005
Last updated
03/07/2017
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