THEODORA J MARZOUK NPI 1174045744

NPI Information

NPI: 1174045744
Provider Name: THEODORA J MARZOUK
Classification: Home Health Aide - 374U00000X
Entity Type: Individual
Address:
3317 ELM STREET
SUITE 202
OAKLAND, CA
ZIP 94609
Phone: (510) 923-9790
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Theodora J Marzouk is a home health aide in Oakland, CA. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. Theodora J Marzouk NPI is 1174045744. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3317 ELM STREET
SUITE 202
OAKLAND, CA
ZIP 94609
Phone: (510) 923-9790
Fax: (510) 923-9599

The enumeration date for this NPI number is 7/14/2017 and was last updated on 7/14/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	374U00000X	Home Health Aide		020000416	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	020000416	OTHER	CALIFORNIA	HOME HEALTH LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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