Marco, Noachim

Marco, Noachim is an individual health care provider with primary practice located at 18855 Victory Blvd , Reseda CA 91335-6445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Marco, Noachim can be contacted via phone (818) 774-3032.

Contact Information

Primary practice address
18855 Victory Blvd Reseda CA 91335-6445
Phone: (818) 774-3032
Fax: (818) 774-5919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G60305 California

Profile Details

NPI number 1366848335
LBN Legal business name Marco, Noachim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2014
Last updated Nov 18th, 2014 - about 12 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 1366848335 NPPES
California Other G60305 CA STATE LICENSE

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