Organization
LUIS MARMANILLO-ALCAZAR, M.D.,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS JORGE MARMANILLO M.D. (OFFICE MANAGER)
(619) 585-7117
Entity
Organization
Contact information
Practice address
340 4TH AVE, SUITE 17, CHULA VISTA, CA 91910-3813
(619) 585-7117
(619) 585-7146
Mailing address
340 4TH AVE, SUITE 17, CHULA VISTA, CA 91910-3813
(619) 585-7117
(619) 585-7146
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Enumeration date
12/17/2010
Last updated
08/15/2011
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