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:
Health care specialties
| Specialty | Code | License # | 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 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639171788 | NPPES |
| California | MEDICAID | 00G120760 |
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