Individual
HALEY MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10724 WASHINGTON BLVD, CULVER CITY, CA 90232-3314
(818) 388-3111
Mailing address
4717 WESTCHESTER DR, WOODLAND HILLS, CA 91364-3455
(818) 388-3111
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
35966
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2025
Last updated
06/04/2025
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