Provider Demographics
NPI:1407812324
Name:MARQUETTE, CINDI L (MD)
Entity Type:Individual
Prefix:DR
First Name:CINDI
Middle Name:L
Last Name:MARQUETTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:44045 MARGARITA RD
Mailing Address - Street 2:STE 103
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-2729
Mailing Address - Country:US
Mailing Address - Phone:310-698-5474
Mailing Address - Fax:310-379-4856
Practice Address - Street 1:43631 CALABRO ST
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-4322
Practice Address - Country:US
Practice Address - Phone:951-302-1625
Practice Address - Fax:951-302-1625
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG86926207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G869260Medicaid
CAB54833Medicare UPIN
CAWG86926AMedicare PIN
CAP00182006Medicare PIN