Individual
MARILYN VARELA MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6701
(800) 464-4000
Mailing address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6701
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17182
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WPA17182A
PPIN
—
Enumeration date
04/05/2006
Last updated
12/01/2021
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