Marroquin, Edmund Julian

Marroquin, Edmund Julian is an individual health care provider with primary practice located at 300 Hospital Drive , Vallejo CA 94589-2574. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Marroquin, Edmund Julian can be contacted via phone (707) 554-4444.

Contact Information

Primary practice address
300 Hospital Drive Vallejo CA 94589-2574
Phone: (707) 554-4444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G81909 California
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X G81909 California

Profile Details

NPI number 1215981469
LBN Legal business name Marroquin, Edmund Julian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jan 15th, 2016 - about 8 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 1215981469 NPPES
California MEDICAID 00G819090

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