Provider Demographics
NPI:1326124819
Name:MARILYN S. NORTON M.D., INC.
Entity Type:Organization
Organization Name:MARILYN S. NORTON M.D., INC.
Other - Org Name:SOUTH COUNTY HEMATOLOGY ONCOLOGY, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD./PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:SANDRA
Authorized Official - Last Name:NORTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-482-8430
Mailing Address - Street 1:769 MEDICAL CENTER CT STE 202
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91911-6660
Mailing Address - Country:US
Mailing Address - Phone:619-482-8430
Mailing Address - Fax:619-482-8005
Practice Address - Street 1:769 MEDICAL CENTER CT STE 202
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-6660
Practice Address - Country:US
Practice Address - Phone:619-482-8430
Practice Address - Fax:619-482-8005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0100450Medicaid
CAW17949Medicare ID - Type Unspecified