Individual
MARISSA MARTINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1401 S ANAHEIM BLVD, ANAHEIM, CA 92805-6246
(714) 772-9800
Mailing address
PO BOX 16122, IRVINE, CA 92623-6122
(714) 772-9800
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A30945
CA
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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