Organization
DR RIOLAN MARBUN OD PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIOLAN MARBUN OD (PRESIDENT)
(619) 226-2020
Entity
Organization
Contact information
Practice address
1288 CAMINO DEL RIO N, SAN DIEGO, CA 92108-1511
(619) 500-6688
(619) 500-6689
Mailing address
PO BOX 91519, SAN DIEGO, CA 92169-3519
(615) 604-6101
(619) 500-6689
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13678
CA
Other
Enumeration date
10/31/2007
Last updated
05/12/2026
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