Individual
PANOS Z MARMARELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., M.D.
Contact information
Practice address
1045 ATLANTIC AVE, 719, LONG BEACH, CA 90813-3412
(562) 591-1324
(562) 437-1054
Mailing address
1045 ATLANTIC AVE, 719, LONG BEACH, CA 90813-3412
(562) 591-1324
(562) 437-1054
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G37550
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G375500
—
CA
01
—
130005307
RAILROAD MEDICARE
CA
01
—
WG37550D
PTAN PROVIDER IDENTIFIER
CA
Enumeration date
05/16/2006
Last updated
01/22/2019
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