Organization
CLIFFORD I. MARSHALL MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD IRWIN MARSHALL M.D. (PRESIDENT)
(310) 556-1888
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK E, 1511, LOS ANGELES, CA 90067-2001
(310) 556-1888
(310) 556-4427
Mailing address
2080 CENTURY PARK E, 1511, LOS ANGELES, CA 90067-2001
(310) 556-1888
(310) 556-4427
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
G11217
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G112170
—
CA
Enumeration date
12/13/2014
Last updated
12/13/2014
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