Individual
GARY E. MARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9040 TELEGRAPH RD, DOWNEY, CA 90240-2393
(562) 861-0954
(562) 231-1904
Mailing address
DEPT LA 23039, PASADENA, CA 91185-3039
(562) 282-4038
(562) 658-3397
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A20613
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A206130
BLUE SHIELD ID #
—
05
—
00A206130
—
CA
01
—
110060914
RAILROAD
—
Enumeration date
06/01/2006
Last updated
07/29/2011
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