Organization
A. MARSH MEDICAL CLINIC
Active
Other names
Clinica Virgen Guadalupe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALVA A MARSH M.D. (PRESIDENT)
(323) 604-9591
Entity
Organization
Contact information
Practice address
615 S ATLANTIC BLVD, LOS ANGELES, CA 90022-3211
(323) 604-9591
(323) 604-9594
Mailing address
615 S ATLANTIC BLVD, LOS ANGELES, CA 90022-3211
(323) 604-9591
(323) 604-9594
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C22547
CA
207RH0000X
Hematology (Internal Medicine) Physician
C22547
CA
207RH0003X
Hematology & Oncology Physician
C22547
CA
363AM0700X
Medical Physician Assistant
PA15732
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C225470
—
CA
Enumeration date
03/11/2015
Last updated
03/12/2015
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