Individual
MARLON MINERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17130 VAN BUREN BLVD # 1007, RIVERSIDE, CA 92504-5905
(951) 476-3239
(951) 584-3080
Mailing address
17130 VAN BUREN BLVD # 1007, RIVERSIDE, CA 92504-5905
(951) 476-3239
(951) 584-3080
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A169462
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/05/2017
Last updated
02/23/2026
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