Provider Demographics
NPI:1336109453
Name:MARQUEZ, PATRICIA F (MD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:F
Last Name:MARQUEZ
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 1:121 E TENTH ST
Mailing Address - Street 2:
Mailing Address - City:AZUSA
Mailing Address - State:CA
Mailing Address - Zip Code:91702-2445
Mailing Address - Country:US
Mailing Address - Phone:626-347-5214
Mailing Address - Fax:626-633-3877
Practice Address - Street 1:121 E TENTH ST
Practice Address - Street 2:
Practice Address - City:AZUSA
Practice Address - State:CA
Practice Address - Zip Code:91702-2445
Practice Address - Country:US
Practice Address - Phone:626-347-5214
Practice Address - Fax:626-633-3877
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA62251207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1336109453Medicaid