Provider Demographics
NPI:1578878575
Name:MARVIN APPEL, M.D., INC
Entity Type:Organization
Organization Name:MARVIN APPEL, M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:APPEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-290-8115
Mailing Address - Street 1:2888 LONG BEACH BLVD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-1530
Mailing Address - Country:US
Mailing Address - Phone:562-290-8115
Mailing Address - Fax:562-290-0345
Practice Address - Street 1:2888 LONG BEACH BLVD
Practice Address - Street 2:SUITE 215
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1530
Practice Address - Country:US
Practice Address - Phone:562-290-8115
Practice Address - Fax:562-290-0345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-13
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG34379207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G343790Medicaid
CAA91586Medicare UPIN
CAG34379Medicare PIN