Organization
MICHAEL J. MARCUS DPM A PROFESSIONAL CORPORATION
Active
Parent organization
MICHAEL J. MARCUS, DPM
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHAEL J. MARCUS, DPM
Authorized official
MICHAEL J. MARCUS D.P.M. (PHYSICIAN)
(323) 724-6663
Entity
Organization
Contact information
Practice address
16300 SAND CANYON AVENUE, SUITE 708, IRVINE, CA 92618-3707
(949) 727-3884
(949) 753-9115
Mailing address
101 E BEVERLY BLVD STE 205, MONTEBELLO, CA 90640-4315
(323) 724-6663
(323) 724-5816
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598996134
—
CA
Enumeration date
07/30/2009
Last updated
04/05/2017
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