Individual
EDUARDO JOSE MARIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 DUBOIS ST STE A, SANTA CRUZ, CA 95060-2109
(831) 713-6131
Mailing address
120 DUBOIS ST STE A, SANTA CRUZ, CA 95060-2109
(831) 713-6131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ91892Z
SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
CA
Enumeration date
01/05/2016
Last updated
04/01/2025
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