Individual provider · Type 1 NPI

Rafael Marroquin, 989057

Specialist · Riverside, CA

NPI number 1396960134 Active

Practice location

4500 Brockton Ave, Suite 317
Riverside, CA 92501-4090

Call (951) 367-2111 Map

Fax (951) 367-1585

Mailing address

11411 Poplar St
Loma Linda, CA 92354-3520

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X989057 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1396960134

Rafael Marroquin, 989057's National Provider Identifier is 1396960134, issued on Apr 16, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Riverside, CA. The record was last updated on Jul 8, 2007.