Organization
MARQUE MEDICAL CLINIC, INC.
Active
Other names
Marque Urgent Care, Inc.-Newport Beach
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN ARON KISKILA MD (PRESIDENT)
(949) 760-9222
Entity
Organization
Contact information
Practice address
2075 SAN JOAQUIN HILLS RD, NEWPORT BEACH, CA 92660-6505
(949) 760-9222
(949) 644-4312
Mailing address
2075 SAN JOAQUIN HILLS RD, NEWPORT BEACH, CA 92660-6505
(949) 760-9222
(949) 644-4312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A104532
CA
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/17/2011
Last updated
05/31/2016
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