Marin, Eduardo Jose

Marin, Eduardo Jose is an individual health care provider with primary practice located at 120 Dubois St Ste A , Santa Cruz CA 95060-2109. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is his primary health care specialty. Marin, Eduardo Jose can be contacted via phone (831) 713-6131.

Contact Information

Primary practice address
120 Dubois St Ste A Santa Cruz CA 95060-2109
Phone: (831) 713-6131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1295191336
LBN Legal business name Marin, Eduardo Jose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2016
Last updated Apr 1st, 2025 - about last year

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 1295191336 NPPES
California Other ZZZ91892Z SANTA CRUZ COUNTY MEDICARE GROUP PTAN#

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