Individual
MICHAEL CHARLES MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPO,CPO
Contact information
Practice address
1043 ELM AVE STE 202, LONG BEACH, CA 90813-3244
(562) 432-2987
(562) 437-4864
Mailing address
1043 ELM AVE STE 202, LONG BEACH, CA 90813-3244
(562) 432-2987
(562) 437-4864
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO04198
—
224P00000X
Prosthetist
Primary
CPO04198
—
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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