Individual
MR. DANIEL R MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4640 ADMIRALTY WAY STE 1020, MARINA DEL REY, CA 90292-6641
(310) 305-1813
(310) 821-3555
Mailing address
PO BOX 66459, LOS ANGELES, CA 90066-0459
(310) 305-1813
(310) 821-3555
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C51003
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C51003
MEDICAL LICENSE
CA
Enumeration date
08/17/2006
Last updated
07/25/2025
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