Provider Demographics
NPI:1164577250
Name:MARSH, SHEILA (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:
Last Name:MARSH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6280 JACKSON DR
Mailing Address - Street 2:SUITE 8
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92119-3434
Mailing Address - Country:US
Mailing Address - Phone:619-464-1687
Mailing Address - Fax:619-303-8456
Practice Address - Street 1:6280 JACKSON DR
Practice Address - Street 2:SUITE 8
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92119-3434
Practice Address - Country:US
Practice Address - Phone:619-464-1687
Practice Address - Fax:619-303-8456
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2021-11-29
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Provider Licenses
StateLicense IDTaxonomies
CAC52069207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF33313Medicare UPIN