Doctor Name: | DR. LOUIS EDWARD MARCHIOLI |
NPI Number: | 1164414603 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | C35395 |
Business Practice Address: | 15040 Imperial Hwy La Mirada, CA - 906381301 |
Business Phone Number: | 5629021014 |
Business Fax Number: | 5629021015 |
Mailing Address: | 15040 Imperial Hwy, LA MIRADA |
State: | CA |
Postal Code: | 906381301 |
Phone Number: | 5629021014 |
Fax Number: | 5629021015 |
NPI Enumeration Date: | 08/19/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/25/2006 |
NPI Reactivation Date: | 04/05/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207KA0200X |
License Number: | C35395 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Allergy & Immunology |
Taxonomy Specialization: | Allergy |
Taxonomy Definition: |