Provider Demographics
NPI:1053484006
Name:MARFORI, BEATRIZ LOURDES (MD)
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:LOURDES
Last Name:MARFORI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 RANCHEROS DR STE 130
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92069-2968
Mailing Address - Country:US
Mailing Address - Phone:858-279-1223
Mailing Address - Fax:858-430-2736
Practice Address - Street 1:300 RANCHEROS DR STE 130
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92069-2968
Practice Address - Country:US
Practice Address - Phone:858-279-1223
Practice Address - Fax:858-430-2736
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA500762084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF77100Medicare UPIN