Provider Demographics
NPI:1033293840
Name:MARINO, JAMES FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FRANCIS
Last Name:MARINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2620 SAINT TROPEZ PL
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-3541
Mailing Address - Country:US
Mailing Address - Phone:858-337-6233
Mailing Address - Fax:858-455-6172
Practice Address - Street 1:12630 MONTE VISTA RD
Practice Address - Street 2:SUITE 105
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2530
Practice Address - Country:US
Practice Address - Phone:858-487-6440
Practice Address - Fax:858-487-7281
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2012-09-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG40978207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG40978AMedicare ID - Type Unspecified
CAA92221Medicare UPIN