Organization
CALVIN MARANTZ MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALVIN MARANTZ M.D. (PRESIDENT)
(951) 736-6383
Entity
Organization
Contact information
Practice address
800 S MAIN ST, CORONA, CA 92882-3420
(951) 736-6383
(951) 736-6384
Mailing address
PO BOX 7630, LAGUNA NIGUEL, CA 92607-7630
(949) 643-3345
(949) 643-3560
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G12076
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0087690
—
CA
Enumeration date
12/08/2006
Last updated
08/14/2013
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