Marcus, Daniel R

Marcus, Daniel R is an sole proprietor health care provider with primary practice located at 4640 Admiralty Way Ste 1020 , Marina Del Rey CA 90292-6641. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Marcus, Daniel R can be contacted via phone (310) 305-1813.

Contact Information

Primary practice address
4640 Admiralty Way Ste 1020 Marina Del Rey CA 90292-6641
Phone: (310) 305-1813
Fax: (310) 821-3555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C51003 California

Profile Details

NPI number 1417061714
LBN Legal business name Marcus, Daniel R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Aug 25th, 2022 - about 2 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 1417061714 NPPES
California Other C51003 MEDICAL LICENSE

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