Provider Demographics
NPI:1952441099
Name:MARMORSTEIN, SIGALIT (NP)
Entity Type:Individual
Prefix:
First Name:SIGALIT
Middle Name:
Last Name:MARMORSTEIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26565 AGOURA RD STE 200
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1990
Mailing Address - Country:US
Mailing Address - Phone:800-998-7042
Mailing Address - Fax:800-998-7042
Practice Address - Street 1:26565 AGOURA RD STE 200
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1990
Practice Address - Country:US
Practice Address - Phone:800-998-7042
Practice Address - Fax:800-998-7042
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA527825363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWNP11202AMedicare PIN
CAP02573Medicare UPIN