Marantz, Calvin

Marantz, Calvin is an individual health care provider with primary practice located at 800 S Main St , Corona CA 92882-3420. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Marantz, Calvin can be contacted via phone (951) 736-6383.

Contact Information

Primary practice address
800 S Main St Corona CA 92882-3420
Phone: (951) 736-6383
Fax: (951) 736-6384
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X G12076 California
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G12076 California

Profile Details

NPI number 1639171788
LBN Legal business name Marantz, Calvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639171788 NPPES
California MEDICAID 00G120760

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