Individual provider · Type 1 NPI

Crispin J. Mar, PA-C

Surgical Physician Assistant · Rancho Santa Margarita, CA

NPI number 1649203183 Active

Practice location

22431 Antonio Pkwy # B160-613
Rancho Santa Margarita, CA 92688-2804

Fax (855) 727-2251

Specialties and licenses

TaxonomyCodeLicense
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000XPA10329 (CA)
Surgical Physician Assistant Primary 363AS0400XPA10329 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1649203183

Crispin J. Mar, PA-C's National Provider Identifier is 1649203183, issued on Jul 8, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Rancho Santa Margarita, CA. The record was last updated on Jun 21, 2024.