Individual
SUSAN MARIE MARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11 TECHNOLOGY DR, IRVINE, CA 92618-2302
(949) 923-3200
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
15638
NV
208M00000X
Hospitalist Physician
15638
NV
208M00000X
Hospitalist Physician
Primary
A79698
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10435426
CAQH
—
05
—
1922006618
—
NV
Enumeration date
07/07/2005
Last updated
01/01/2026
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