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MARQUE MEDICAL CLINIC INC NPI 1174180533


NPI Information

NPI: 1174180533
Provider Name: MARQUE MEDICAL CLINIC, INC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 05D2024906

Address:
4085 GOVERNOR DR
SAN DIEGO, CA
ZIP 92122
Phone: (949) 760-9222
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MARQUE MEDICAL CLINIC, INC is an urgent care clinic center in San Diego, CA. MARQUE MEDICAL CLINIC, INC NPI is 1174180533. The provider is registered as an organization entity type.

The provider's business location address is:

4085 GOVERNOR DR
SAN DIEGO, CA
ZIP 92122-522
Phone: (949) 760-9222

The provider's authorized official is Theresa Nguyen .
The authorized official title is Billing Supervisor and has the following contact phone number (949) 760-9222.

The CLIA number assigned to this NPI record is 05D2024906 - other - urgent care clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2019 and was last updated on 5/21/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QU0200XClinic/CenterUrgent CareYes

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: 4/28/2024

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