Individual
MR. MICHAEL GEORGE MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C, CRNA
Contact information
Practice address
1000 FIVEPOINT, IRVINE, CA 92618-2377
(949) 671-4673
(949) 671-4329
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95036577
CA
363LF0000X
Family Nurse Practitioner
COA.13512-NP
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
95000854
CA
Other
Enumeration date
07/19/2012
Last updated
08/13/2025
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